Trusted evidence. Informed decisions. Better health.
Trusted evidence. Informed decisions. Better health.
Cochrane Rehabilitation Achievements and future developments
Carlotte Kiekens Physical and Rehabilitation Medicine, UZ Leuven, Belgium Coordinator Cochrane Rehabilitation Chair ISPRM WHO Liaison committee @CarlotteK @CochraneRehab @ISPRM_
Trusted evidence. Informed decisions. Better health.
Trusted evidence. Informed decisions. Better health.
Nothing to disclose
Cochrane vision
What does Cochrane do ?
Cochrane gathers and summarizes the best
evidence from research producing systematic
reviews and meta-analysis including only
Randomized Controlled Trials (RCTs).
Cochrane does not accept commercial or
conflicted funding
Murad MH, Asi N, Alsawas M, et al New evidence pyramid
BMJ evidence-based medicine doi: 10.1136/ebmed-2016-110401
Cochrane Organization
Review Groups: systematic reviews (56)
Methods Groups: development of methods for reviews (17)
Centres: local knowledge translation
• >52 countries & regions
Fields: knowledge translation for a specific health community other than a condition (11)
56 Cochrane Review Groups
1. Acute Respiratory
Infections Group
2. Airways Group
3. Anaesthesia, Critical and
Emergency Care Group
4. Back and Neck Group
5. Bone, Joint and Muscle
Trauma Group
6. Breast Cancer Group
7. Childhood Cancer Group
8. Cochrane Response
9. Colorectal Cancer Group
10. Common Mental
Disorders Group
11. Consumers and
Communication Group
12. Covidence Review Group
13. Cystic Fibrosis and
Genetic Disorders Group
14. Dementia and Cognitive
Improvement Group
15. Developmental,
Psychosocial and
Learning Problems Group
16. Drugs and Alcohol Group
17. Effective Practice and
Organisation of Care
Group
18. ENT Group
19. Epilepsy Group
20. Eyes and Vision Group
21. Fertility Regulation Group
22. Gynaecological, Neuro-
oncology and Orphan
Cancer Group
23. Gynaecology and Fertility
Group
24. Haematological
Malignancies Group
25. Heart Group
26. Hepato-Biliary Group
27. HIV/AIDS Group
28. Hypertension Group
29. IBD Group
30. Incontinence Group
31. Infectious Diseases Group
32. Injuries Group
33. Kidney and Transplant
Group
34. Lung Cancer Group
35. Metabolic and Endocrine
Disorders Group
36. Methodology Review
Group
37. Movement Disorders
Group
38. Multiple Sclerosis and
Rare Diseases of the CNS
Group
39. Musculoskeletal Group
40. Neonatal Group
41. Neuromuscular Group
42. Oral Health Group
43. Pain, Palliative and
Supportive Care Group
44. Pregnancy and Childbirth
Group
45. Public Health Group
46. Schizophrenia Group
47. Skin Group
48. STI Group
49. Stroke Group
50. Test CRG
51. Tobacco Addiction Group
52. Upper GI and Pancreatic
Diseases Group
53. Urology Group
54. Vascular Group
55. Work Group
56. Wounds Group
Cochrane Fields
Focus on dimensions of health care other than
a condition or topic
• the setting of care (primary care)
• the type of consumer (children, older people)
• or the type of provider (nursing)
Cochrane Rehabilitation focuses on a specific
health strategy.
Cochrane Child Health
Cochrane Complementary
Medicine
Cochrane Consumer Network
Cochrane Global Ageing
Cochrane Insurance Medicine
Cochrane Neurosciences
Cochrane Nursing Care
Cochrane Nutrition
Cochrane Pre-hospital and
Emergency Care
Cochrane Primary Care
Cochrane Rehabilitation
Role of Cochrane Fields: a bridge
- facilitate work of Cochrane Review Groups
- ensure that Cochrane reviews are both relevant and accessible to their fellow specialists and consumers
Rehabilitation stakeholders side
Cochrane Groups side
Vision of Cochrane Rehabilitation
All rehabilitation professionals can apply
Evidence Based Clinical Practice
Decision makers will be able to take
decisions according to the best and most
appropriate evidence
Cochrane Rehabilitation Goals
1. Connect rehab stakeholders globally
2. Translate knowledge in rehab
3. Register rehab reviews
4. Educate rehab stakeholders
5. Develop rehab review methods
6. Promote Cochrane to Rehab & Rehab to Cochrane
Organization
Advisory Board
3 Cochrane Groups
5 World Scientific Societies
4 Regional Scientific PRM Societies
4 Experts (J Li, G Stucki, LH Lugo, S Wu)
4 Representatives (LMIC, allied health professionals, WHO)
12 Journals
The Executive Commitee
1. Stefano Negrini, MD (Italy) – Director
2. Carlotte Kiekens, MD (Belgium) – Coordinator
3. Francesca Gimigliano, MD, PhD (Italy) – Communication Com
4. Frane Grubisic, MD (Croatia) – Publication Com
5. Tracey Howe, PT (United Kingdom) – Professional representative
6. Elena Ilieva, MD, PhD (Bulgaria) – Education Com
7. William Levack, PT, PhD (New Zealand) – Reviews Com
8. Antti Malmivaara (Finland) – Method Com
9. Thorsten Meyer, Psy, PhD (Germany) – Method Com
10. Aydan Oral, MD (Turkey) – Publication Com
11. Julia Patrick Engkasan, MD (Malaysia) – Education Com
12. Farooq Rathore, MD (Pakistan) – Reviews Com; LMIC representative
Reviews Committee
Tagging rules document
Tagging database using “Knack” online software
All Cochrane Reviews have been tagged now
Cochrane PICO initiative
Cochrane Library for indexing
Comunication Committee
Website
Newsletter 606
103
1216
1717
Blogshots
Flyer
Publication Committee
Cochrane Rehabilitation Corners (EJPRM)
Cochrane Corners
Agreements between Journals and Cochrane Rehabilitation
Agreements between Publishers and Wiley (Publisher of
Cochrane Library)
Ebook
Education Committee
Workshops –General introduction: what is Cochrane and Cochrane
Rehabilitation
–Cochrane Rehabilitation results
–Other EBM material
Courses on EBM and Cochrane
Workshops & educational sessions at Meeting –ISPRM 2017, 2018
Scientific presentations and lectures
Methodology Committee
A think tank to help solving problems of EBM in PRM
• Two surveys on EBM problems in Rehabilitation
• Poster at the #GlobalEvidenceSummit 2017
• Presentation on RCT’s in rehab #CochraneForAll 2018
• First Cochrane Rehabilitation Corner paper in the
EJPRM (October 2017)
Yearly journal special issues/sections on methodology
• First one in EJPRM after Catalyst 2-days Workshop before
ISPRM Paris (December 2018)
Catalyst Meeting Royal Society of New Zealand
Prioritisation of review questions: W Taylor, NZ
Service users’ involvement: N Kayes, NZ
Operationalising interventions: J Hay-Smith, NZ; S Negrini, I; C Kiekens, Be
Managing control groups: W Levack, NZ
Selecting outcome measures: J Patrick Engkasan, Mal; G Stucki, Swi; M Selb, Swi
Evaluation of risk of bias: C Arienti, I; F Gimigliano, I; A Malmivaara, Fin
Generalisability and transferability of findings: M Harwood, NZ; F Rathore, Pak; T
Meyer, De
Cochrane Overviews for rehabilitation practice: A Pollock, UK
Partnerships
Hosting: Location and logistic support
Financing: Financial support
Strategic: Stakeholders representatives (Advisory Board)
Journal: International journals with Cochrane Corners
Active: Performing common actions with CR committees
Global: World level (networking & support)
Regional: Continent level (networking & support)
National: Country level (translations and local education)
Partnerships
To drive and spread evidence and methods developed by Cochrane Rehabilitation
to the world of Physical and Rehabilitation Medicine in Italy:
SIMFER will guarantee a space for the organization of a Cochrane Rehabilitation Session and/or Workshop at
its annual Congress and at other SIMFER meetings if agreed by both parties.
Cochrane Rehabilitation will support SIMFER to set up educational activities on EBM in PRM.
SIMFER will support the dissemination of information, such as flyers and newsletters, and scientific activities
among their members, including a "link" to the Cochrane Rehabilitation website inside the homepage, using
social media if available (in collaboration with the CR communication committee).
SIMFER will perform translations into Italian of Cochrane Rehabilitation materials such as the newsletters,
blogshots and the website.
SIMFER will be mentioned on the website of Cochrane Rehabilitation as a partner organisation, and vice versa.
Any other activity that fits the objective of the agreement on proposal of either of the parties and after
agreement by both parties.
Calls
Rewards
Page on the website
Milestones badges according to work performed
Cochrane membership (50 hours of work)
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Rehabilitation
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Trusted evidence. Informed decisions. Better health.