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Cochrane Airways Group reviews were prioritized for updating using a pragmatic approach
E Welsh1, E Stovold1, C Karner2
1Cochrane Airways Group, Population Health Research Institute, St George's, University of London, Cranmer Terrace, London SW17 0RE, United kingdom.
Insights
The Cochrane Airways Group developed a pragmatic prioritization method to identify high-priority Cochrane Reviews for updates. This approach efficiently manages resources while improving review selection for guideline writers and clinicians.
Area of Science:
- Systematic review prioritization
- Evidence-based medicine resource allocation
Background:
- Cochrane Reviews are vital for healthcare guidelines but maintaining currency is challenging.
- The Cochrane Airways Group (CAG) needed to prioritize updates and new reviews efficiently without extra resources.
Purpose of the Study:
- To develop pragmatic and transparent prioritization techniques for CAG Reviews.
- To identify 25-35 high-priority updates from 270 existing reviews.
- To enhance selectivity in publishing new reviews.
Main Methods:
- Utilized existing prioritization elements: healthcare uncertainties, expert opinion, and a decision tool.
- Did not employ full face-to-face workshops or iterative group decision-making.
Main Results:
- Prioritized 30 reviews requiring updates within a 2-year timeframe.
- Published nine of the prioritized reviews within the first 18 months.
Conclusions:
- A pragmatic prioritization approach effectively identifies key reviews without significant resource expenditure.
- The implemented steps enhance control over the review scope and offer a foundation for future improvements.
Objectives:
Cochrane Reviews should address the most important questions for guideline writers, clinicians, and the public. It is not possible to keep all reviews up-to-date, so the Cochrane Airways Group (CAG) decided to prioritize updates and new reviews without requesting additional resources. The aim of the objective was to develop pragmatic and transparent prioritization techniques to identify 25 to 35 high-priority updates from a total of 270 CAG Reviews and become more selective over which new reviews we publish.
Study Design And Setting:
We used elements from existing prioritization processes, including existing health care uncertainties, expert opinion, and a decision tool. We did not conduct a full face-to-face workshop or an iterative group decision-making process.
Results:
We prioritized 30 reviews in need of updating and aimed to update these within 2 years. Within the first 18 months, nine of these have been published.
Conclusion:
A pragmatic approach to prioritization can indicate priority reviews without an excessive drain on time and resources. The steps provide us with better control over the reviews in our scope and can be built on in the future.
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