Introduction to the Cochrane Collaboration in Middle East (WONCA)

It started with an email…. WONCA EUROPE 4-7 Sep 2008, Istanbul, Turkey Mona Nasser DDS Researcher Department of Health Information, IQWIG

IQWiG: I nstitut für Q ualität und W irtschaftlichkeit i m G esundheitswesen Institute for Quality and Efficiency in Health Care ,[object Object],[object Object]

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Bahrain Branch of the UK Cochrane Centre Iranian Cochrane Informal Network

The network of Cochrane Contributors in Middle East

More than 20 ongoing Cochrane reviews… Management of the fractured edentulous atrophic mandible Antihistamines as an adjunct to topical nasal steroids for intermittent and persistent allergic rhinitis in children Resorbable versus titanium plates for orthognathic surgery Local consensus processes: effects on professional practice and health care outcomes Acyclovir for treating primary herpetic gingivostomatitis Carnitine supplementation for treating people with inborn errors of metabolism Blood transfusions for treating acute chest syndrome in people with sickle cell disease Epidural steroids for radicular back pain ………

With authors from more than 10 countries… United Kingdom Bahrain Iran Turkey United States Singapore Switzerland Brazil Germany Australia Norway Jordan …

Collaboration with researchers from more than 20 countries… United Kingdom Bahrain Iran Turkey United States Singapore Switzerland Brazil Germany Australia Norway Jordan Canada South Africa Spain Argentina Netherlands Italy Portugal New Zealand Russia Thailand Columbia … .

Networking involves making contacts and encouraging reciprocal information exchange and voluntary collaboration. … . process of networking is more important than the development of a structured network……… . (Paul Starkey)

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Collaborative Review Groups Fields The Consumer Network Centres Steering Group Methods Groups

Becoming mentors Getting involved in a more complex projects Interested individuals Attending introductory training classes Getting in contact with a mentor Starting a systematic review (mentor-mentee) Training during the review Finishing the review

Evidence Producers Policymakers Trialists Health professionals Patients Public Health workers Journalists

Innvaer S, Vist G, Trommald M, Oxman A. Health policy-makers' perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002 Oct;7(4):239-44. Review. … ..The most commonly reported (by health policy makers) facilitators (to the use of evidence) were personal contact (with the researchers) …. The most commonly reported (by health policy makers) barriers (to the use of evidence) were absence of personal contact ….

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The following items are not covered by any completed Cochrane Reviews in Issue 3, 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nasser M, Lodge M, Fedorowicz Z. The Relevance of Cochrane Reviews to the Cancer Priorities in Iran. Cochrane Colloquium, Sao Paulo, Brazil, October 2007

Prioritizing Cochrane Review Topics Relevant to Low- and Middle-Income Countries ,[object Object],1) Identify what priority-setting approaches are underway by Cochrane entities already and whether/how these can inform priorities for systematic reviews of relevance to LMIC 2) Explore different methods of identifying priorities for systematic reviews for specific audiences, recognizing that priorities may be different (eg for policy-makers, for practitioners). We might convene small working groups of practitioners to identify priorities for systematic reviews at a national or regional level 3) Map existing systematic reviews to identified priorities to identify gaps/needs for new systematic reviews, as well as showing whether the Cochrane Database of Systematic Reviews already answers high-priority questions relevant to LMIC

Overcoming the distance Healthcare Professionals And Consumers Primary Research

Helping people to make decisions about their own health?

Identifying health topics that are relevant to patients and public Identifying high quality systematic reviews Providing understandable evidence based health information

Fact sheets for patients (printable in pdf format for a clinical practice) Simple films Patients‘ stories, quizzes, newsletter Detailed articles on broad health topics What do we have on our website?

Overcoming the distance Patient and public Evidence

www.cochrane.org bahrain.cochrane.org www.dent.sbmu.ac.ir/icinet.as www.gesundheitsinformation.de www.informedhealthonline.org

Introduction to the Cochrane Collaboration in Middle East (WONCA)

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