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The Cochrane Collaboration and Evidence for Better Health

The Cochrane Collaboration and Evidence for Better Health. Dr David Tovey FRCGP Editor in Chief The Cochrane Library. Knowledge is important!. “There had been reports that Chloe was not given the anti-viral drug Tamiflu after her doctor misdiagnosed her illness as tonsillitis......”.

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The Cochrane Collaboration and Evidence for Better Health

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  1. The Cochrane Collaboration and Evidence for Better Health Dr David Tovey FRCGPEditor in ChiefThe Cochrane Library

  2. Knowledge is important!

  3. “There had been reports that Chloe was not given the anti-viral drug Tamiflu after her doctor misdiagnosed her illness as tonsillitis......”

  4. “Between 1999 and 2002 Roche sold just 5.5 million treatments.Next year the total sales of oseltamivir are projected at 150million. Roche's share price has soared this year by 60%.1 ” “There had been reports that Chloe was not given the anti-viral drug Tamiflu after her doctor misdiagnosed her illness as tonsillitis......” 1 BMJ  2005;331:1277 (26 November), doi:10.1136/bmj.331.7527.1277

  5. “Between 1999 and 2002 Roche sold just 5.5 million treatments.Next year the total sales of oseltamivir are projected at 150million. Roche's share price has soared this year by 60%.1” “There had been reports that Chloe was not given the anti-viral drug Tamiflu after her doctor misdiagnosed her illness as tonsillitis......” 1 BMJ  2005;331:1277 (26 November), doi:10.1136/bmj.331.7527.1277

  6. BMJ editor Dr. Fiona Godlee, said "claims that oseltamivir reduces complications have been a key justification for promoting the drug's widespread use. Governments around the world have spent billions of pounds on a drug that the scientific community has found itself unable to judge.“

  7. Does it matter?

  8. Does it matter?

  9. Archie Cochrane “It is surely a great criticism of our profession that we have not organised a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomised controlled trials.”

  10. Mission • The Cochrane Collaboration is an international organisation that aims to help people make well-informed decisions about health care by preparing, maintaining and promoting the accessibility of systematic reviews of the effects of healthcare interventions.

  11. Cochrane Principles • Keeping up to date • Striving for relevance • Promoting access • Ensuring quality • Continuity • Collaboration • Building on the enthusiasm of individuals • Avoiding duplication • Minimising bias

  12. Cochrane Principles • Keeping up to date • Striving for relevance • Promoting access • Ensuring quality • Continuity • Collaboration • Building on the enthusiasm of individuals • Avoiding duplication • Minimising bias

  13. Cochrane Principles • Keeping up to date • Striving for relevance • Promoting access • Ensuring quality • Continuity • Collaboration • Building on the enthusiasm of individuals • Avoiding duplication • Minimising bias

  14. Cochrane Principles • Keeping up to date • Striving for relevance • Promoting access • Ensuring quality • Continuity • Collaboration • Building on the enthusiasm of individuals • Avoiding duplication • Minimising bias

  15. The Cochrane Collaboration: a success story........ • 18,000 active volunteers • 1.2m website hits/month and > 1000 recorded media hits for a single issue • >4000 systematic reviews plus access to summaries of thousands more?

  16. Cochrane geographical spread

  17. Cochrane Review Groups

  18. Global reach Australia Canada Denmark Finland India Ireland Latin America &Caribbean Low-Income Countries New Zealand Norway South Africa* Spain Sweden United Kingdom State of Wyoming*

  19. Impact and impact factor 5.182 2 seconds Up from 4.654 in 2007 12thhighest General Medical journal Up from 14th in 2007

  20. Impact and impact factor 5.182 3 seconds Up from 4.654 in 2007 12thhighest General Medical journal Up from 14th in 2007

  21. Impact and impact factor 5.182 4 seconds Up from 4.654 in 2007 12thhighest General Medical journal Up from 14th in 2007

  22. Increasing usage

  23. Top 10 Reviews - Worldwide

  24. Where are we going? • Content development • Delivery of content

  25. Content

  26. Content developments • Summary of findings tables • Diagnosis reviews • Multiple comparison meta-analysis • Overviews of reviews

  27. Content developments • Global Health commitment • Advocacy • Capacity building • Work with WHO and other partners • Complex reviews • Health Equity Methods Group

  28. GRADE and Summary of Findings table

  29. Delivery: the web programme • Increasing publication frequency (publish changed data only) • Improved search and browse • Clarification of content • Web 2.0 / interactivity etc

  30. Delivery: different vehicles • Cochrane Journal Club • Cochrane PICO • Cochrane on handhelds • Cochrane decision support

  31. New for The Cochrane Library in 2010

  32. How can we measure success? Participation Quality Usage Global health progress

  33. thanks for listeningdtovey@cochrane.org

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