Cochrane Primary Health Care Field

1. Cochrane Primary Health Care Field More General Practice for Cochrane More Cochrane for General Practice Floris van de Laar, MD, PhD Cochrane Primary Health Care Field Radboud University Nijmegen Medical Centre, The Netherlands Cochrane Primary Health Care Field

2. This presentation What is a Cochrane Field? Goals of the Primary Health Care Field Accomplishments Current activities and future directions Questions & Discussion Cochrane Primary Health Care Field 2

3. Cochrane Primary Health Care Field 3

4. What is the Cochrane Collaboration? international, independent, not-for-profit organisation … dedicated to making up-to-date, accurate information about the effects of health care readily available worldwide Cochrane Reviews are intended to help providers, practitioners and patients make informed decisions about health care, and are the most comprehensive, reliable and relevant source of evidence… Cochrane Primary Health Care Field 4

5. What is a Cochrane field? Fields Cochrane Primary Health Care Field

6. Groups versus Fields Groups: • longitudinal • One tract or health problem (e.g., Renal group, Schizophrenia group) • Produce (edit) protocols and reviews • Fields: • Transversal • Other dimensions of health care such as type of intervention, patient, setting (e.g., Vaccination field, child field, primary health care field) • Do not produce reviews Cochrane Primary Health Care Field

7. Tasks of Cochrane Fields • Make sure that Fields interests are covered in reviews • Liaison between Cochrane Collaboration and the field • Promote access to reviews • Promote or facilitate funding for reviews • Retrieving relevant trials for the field Cochrane Primary Health Care Field

8. Other Cochrane Fields • Cancer Field • Child Health Field • Complementary Medicine Field • Consumer Network • Developing Countries Network • Health Care of Older People Field • Health Equity Field • Health Promotion and Public Health Field • Neurological Network • Occupational Health Field • Prehospital and Emergency Health Field • Rehabilitation and Related Therapies Field • Vaccines Field Cochrane Primary Health Care Field

9. Cochrane Primary Health Care Field Cochrane Primary Health Care Field

10. Goals of the Primary Health Care Field Mission Statement: “To promote the quality, quantity, dissemination, accessibility, applicability and impact of Cochrane systematic reviews relevant to people who work in primary care" Cochrane Primary Health Care Field 11

11. Cochrane Primary Health Care FieldAccomplishments Generate exposure Publications Website E-mail newsletter Conferences: WONCA, SAPC, Cochrane colloquium Content PEARLS Promoting systematic reviews / evidence based medicine Cochrane Primary Health Care Field

12. Cochrane Primary Health Care FieldWebsite www.cochraneprimarycare.org Cochrane Primary Health Care Field

13. Cochrane Primary Health Care FieldNewsletter Cochrane Primary Health Care Field

14. PEARLS Answer in title Clinically relevant question ‘Bottom line’ Caveat Context References Modern Medicine 2008, no 4 Cochrane Primary Health Care Field

15. Dissemination PEARLS: In English: E-mail newsletter Website(s) New Zealand Guideline Group (website) New Zealand Doctor Malaysian Family Physician In Dutch: Huisarts en Wetenschap Tijdschrift voor Praktijkondersteuning Modern Medicine In French: Courriel Cochrane In Spanish: Perlas In German: Zeitschrift fur Allgemeinmedizin Swiss Family Physician In Chinese? Cochrane Primary Health Care Field 16

16. Current activities and future directions • Improving the quality of our network • ICPC • External Validity • Clinical Prediction Rules Cochrane Primary Health Care Field 19

17. Improving the quality of our networkExpertise database • Network task field: • Liaison Cochrane <-> primary care • (un)asked advice about new and existing protocols and reviews • PHC Field has ‘interests’ in many groups • Often specific expertise required! • Global primary care full of talent and knowledge; • However: Who, Where & What • Solution: expertise database Cochrane Primary Health Care Field

18. www.cochranegetinvolved.org Cochrane Primary Health Care Field

19. Cochrane Primary Health Care FieldICPC coding • ICPC = International Classification of Primary Care • Goal: to categorize Cochrane Reviews by ICPC codes • Advantages: • Searching Reviews by ICPC • Categorize Reviews by ICPC • Easy identification of research gaps • Linking GP information systems to Cochrane reviews • Status: experimental Cochrane Primary Health Care Field

20. Cochrane Primary Health Care FieldICPC coding Cochrane Primary Health Care Field

21. External validity • When the evidence is of no use…. (workshop Cochrane Colloquium) • Problems occur in the generalization of systematic reviews: • Evidence derived from different population • Strongly selected population • Intervention may work differently in primary care • Information needed to assess external validity • Research needed • Current situation • Problems and pitfalls • Ideas for improvements • Test ideas! Cochrane Primary Health Care Field 24

22. Cochrane Primary Health Care FieldClinical prediction Rules (CPRs) Dublin Branch of the Primary Health Care Field Cochrane Primary Health Care Field 25

23. Cochrane Primary Health Care FieldClinical prediction Rules (CPRs) How it fits: • Cochrane: evidence directly relevant to practice • Cochrane Library covers many different databases • Newly developed ‘Diagnostic study branch’ of the Cochrane collaboration • Primary Health Care Field as source for input • Primary Health Care Field for collaborative opportunities • Primary Health Care Field as platform for CPR register Cochrane Primary Health Care Field 26

24. Cochrane Primary Health Care Field: Join us! Websites: www.cochraneprimarycare.org www.cochranegetinvolved.org Newsletter: http://lists.cochrane.org/mailman/listinfo/primarycare Contact: info@cochraneprimarycare.org Cochrane Primary Health Care Field