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Cochrane Library
Cochrane Library Newsletter - September 2017
Highlighted Reviews
Implementation strategies for health systems in low-income countries: an overview of systematic reviews
A key function of health systems is implementing interventions to improve health, but coverage of essential health interventions remains low in low-income countries. Implementing interventions can be challenging, particularly if it entails complex changes in clinical routines; in collaborative patterns among different healthcare providers and disciplines; in the behaviour of providers, patients or other stakeholders; or in the organisation of care. Read the Review.
Clinician-targeted interventions to influence antibiotic prescribing behaviour for acute respiratory infections in primary care: an overview of systematic reviews
Antibiotic resistance is a worldwide health threat. Interventions that reduce antibiotic prescribing by clinicians are expected to reduce antibiotic resistance. Disparate interventions to change antibiotic prescribing behaviour for acute respiratory infections (ARIs) have been trialled and meta-analysed, but not yet synthesised in an overview. This overview synthesises evidence from systematic reviews, rather than individual trials. Read the Review.
Access the full list of new and updated reviews this month.
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What are the benefits and harms of calcium antagonists in people with acute ischemic stroke?
Cochrane Clinical Answers (CCAs) provide a readable, digestible, clinically focused entry point to rigorous research from Cochrane systematic reviews. They are designed to be actionable and to inform decision making at the point of care. Each Cochrane Clinical Answer contains a clinical question, a short answer, and an opportunity to ‘drill down’ to the evidence from relevant Cochrane reviews. The evidence is displayed in a user friendly format, mixing narrative, numbers and graphics. The target audience for Cochrane Clinical Answers is healthcare practitioners and professionals, and other informed health care decision-makers. Cochrane Clinical Answers have been developed by Cochrane Innovations Ltd. and Wiley Online Library.
Using patient-important outcomes for systematic reviews – latest research
Heather Bagley (COMET), Sarah Gorst (MRC Hub for Trials Methodology Research), Richard Morley (Cochrane) Bridget Young (COMET) explore how patient-imporant outcomes could be identified for Cochrane Reviews.
An enthusiastic group of healthcare consumers, Cochrane authors, and researchers joined a workshop jointly run by Richard Morley (Cochrane Consumer Co-ordinator) and Sarah Gorst (Research Fellow for the Patient Perspectives Theme of the MRC North West Hub for Trials Methodology Research) during the UK Cochrane Centre Symposium in Keble College, Oxford 14-15 March 2017. The aim was to explore how patient-important outcomes could be identified for Cochrane Reviews and to answer specific questions. Read more about the research here.
Did you know… tips on using the Cochrane Library
You can read selected content in your language. The language switcher located at the top of abstracts and plain language summaries allows you to easily toggle between different languages, where available.
Latest Editorial from the Cochrane Library
All interventions are complex, but some are more complex than others: using iCAT_SR to assess complexity
Graham F Moore, Rhiannon E Evans, Jemma Hawkins, Hannah J Littlecott, Ruth Turley.
The term 'complex intervention' is commonly used by health researchers. However, what makes an intervention complex (or indeed whether there is any such thing as a non-complex intervention), remains contested.[1,2] Early guidance from the UK Medical Research Council (MRC) positioned complexity as an internal property of a new way of working, stating that "complex interventions are those that include several components".[3] Hence, 'complex' multi-component interventions were contrasted with simpler mono-component interventions, such as drug therapies. Read more…
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Training Resources
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Part 1 - An introduction to the Cochrane Library
Part 2 - Browsing and Searching the Cochrane Library
Part 3 - Using MeSH and Search Manager
Cochrane Journal Club – Register today
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September iPad issue
The September issue of the Cochrane
Library iPad Edition was published which includes highlights from the Cochrane Database of Systematic Reviews
in August 2017 including ‘Cytology versus HPV testing for cervical
cancer screening. The app is freely available from iTunes.
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