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

http://rehabilitation.cochrane.org

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@CochraneRehab

Trusted evidence. Informed decisions. Better health.