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Posts Tagged ‘cochrane’

YouTube, Cochrane, Research Stories, and More (MLA13 Boston: Section Programming)

At the meeting, librarians present their papers that were accepted to the conference.  These are organized into groups of four sponsored by one of the MLA’s sections.  The presentations are timed so that you can see the first presentation in one section then go to another section to see the second, etc…  I wasn’t able to take notes at all of the section programming I listened to, because some of the rooms looked like this when I switched into them:

Image of full seating and people lined up on floor along walls.I thus will post what notes I was able to acquire, but bare in mind I actually got more out of these sections that my notes reveal.

International Congress on Medical Librarianship 2: Trustworthy and Authoritative Publicly Available Information Section

“Trustworthiness and Authoritativeness of YouTube Videos on Smokeless Tobacco” by Donghua Tao, Prajakta Adsul, Ricardo Wray, Keri Jupka, Carolyn Semar, and Kathryn Goggins

  • Use online media as a tool to educate health care users
  • a future study could use a survey of real YouTube users and test their hypothesis
  • Methodology of published papers doesn’t discuss how they searched YouTube
  • See how videos connect to each other (videos referencing other videos)
  • 3,603 unique videos brought up, randomly sampled 433, of which 278 were used based on inclusion criteria

“Twenty Years of the Cochrane Collaboration: A Legacy of Trustworthy and Authoritative Publicly Available Information and Plans for the Future” by Carol Lefebvre, Julie Glanville, Jessie McGowan AHIP, Alison Weightman, and Bernadette Coles

  • 2013 is Cochrane’s 20th anniversary, and they have a special anniversary website.
  • Cochrane Collaboration crates the Cochrane Library
  • plain long summaries, free, multiple languages
  • 4 million downloads in 2010
  • 6 million downloads in 2012
  • New publishing agreement with Wiley
    • February 1, 2013 to the end of 2018
    • gold open access –> author pays a publication fee then article is available immediately
    • green open access –> no author payment but there is a 1 year embargo
  • impact of Cochrane Reviews
  • We’re not here to decide if we publish clinical data but how
  • 20 years ago:
    • only 20,000 RCTs indexed in medline
    • no RCT filter in medline
  • Now:
    • new MeSH term for quasi-RCT: Controlled Clinical Trial
    • 1996 Central launched
    • medline’s retagging project supports Central
    • proliferation of search filters
    • Cochrane Handbook has grown
  • Future:
    • registration of clinical trials
    • move toward single portals
    • increased access to clinical study reports
    • PubReMiner will increase use
    • text mining increase
    • strengthen relationship with other organizations
    • challenge will still lie in discoverability

Federal Libraries Section: The Role of Librarians in Evidence-Based Medicine: Part One

“Telling the Research Story: A Role for Librarians in Analyzing Research Impact Based on Evidence” by Terrie Wheeler and Cathy C. Sarli AHIP

  • Genesis project (Not really sure what this is.  Had trouble seeing the slides and hearing).
  • citation analysis
  • “It is no longer enough to measure what we can–we need to measure what matters.”
  • Found a lot of gray literature using Google
  • use clean data –> clear linkage
  • explanation of the h-index
  • explanation of the g-index
  • explanation of the tapered h-index
  • all index factors have one limitation or another
  • can we produce future science with publication data? Maybe.

That’s all of my notes I managed to get.  I’ll have to figure out how to better juggle notebooks/pens next year.  Or maybe MLA can get us more seating.  Up next, the National Library of Medicine’s Update.

 

 

 

Evidence, Bias, and Use…Oh, My! (MLA12 Seattle: Complementary and Alternative Medicine Section)

So at the meeting, librarians present their papers that were accepted to the conference.  These are organized into groups of four sponsored by one of the MLA’s sections.  I’m pleased to say that on Monday I made it to an entire session.  Complementary and Alternative Medicine includes everything from yoga to special diets (veg*nism, gluten-free) to acupuncture to traditional Chinese medicine to etc….  I appreciate CAM because it tends to look at the patient as a whole instead of just the diseased body part.  Plus I was curious as to what the presentations would have to say.  One thing that it is important to know.  Cochrane is a database of systematic reviews.  A systematic review is a study of the studies done.  It then summarizes what we know so far.  Think of it as centralized scientific study information.  The other thing to know is that in Western medicine, a treatment is come up with and then tested before it is used with people.  In CAM, the treatments are already in practice, so traditional randomized control trials (RCTs) used in Western medicine aren’t super-applicable.

“Cochrane Complementary and Alternative Medicine Systematic Reviews: An Analysis of Authors’ Comments on the Quality and Quantity of Evidence and Efficacy Conclusions” by Robin A. Paynter

  • CAM limited by RCT-driven evidence-based practice
  • 10% of database are CAM topics
  • Cochrane has a project to develop a classification scheme of CAM topics.
  • 47 out of 53 Cochrane groups have at least one review on a CAM topics
  • Treatment ares cover everything from vitamins to yoga
  • dietary intervention has 37 studies
  • Cochrane expresses concern over poor study designs.
  • Difficult to determine active content in plant-based meds
  • Significant groupage of comments around insufficient evidence and no effect.
  • cross-cultural issues

“Alternative Research Education in a Post-R25 World: Assessing Acupuncture and Oriental medicine (AOM) Student Attitudes Toward Research and the Scientific Method” by Candise Branum

  • Acupuncture and Oriental Medicine–AOM
  • R25 grants intend to develop research literacy and view research as a bridge between Western medicine and CAM
  • Acupuncture Practitioner Research Education Enhancement (APREE)
  • AOM student interest in research declined with years in school, a 2006 study found
  • Do students recognize the benefits of AOM research? Overwhelming yes.
  • Students at schools without dedicated research departments were very unsure about the impact of research.
  • Feelings about research slope toward the negative over time.
  • Students see the benefits of research but that doesn’t necessarily mean they like it
  • A lot of students want to stay alternative and not become complementary
  • If they don’t want to be attached, they’re not gonna want to use the bridge of research.

“Complementary and Alternative Medicine’s (CAM’s) Research Agenda and Its Unique Challenges” by Jane D. Saxton

  • In 2007: 38.4% of adults used CAM over the previous 12 months.  Also, adults spent $33.9 billion out of pocket on CAM.
  • NIH funding to CAM is only 0.5% of the overall budget.
  • CAM is individualized not standardized.  (It’s adjusted to fit the patient not one standard applied to all patients).
  • Whole Systems Research (WSR) is a term coined in 2002.  It is an approach to studying non-linear, whole systems of care.
  • Use of pragmatic RCTs: measure effectiveness, don’t use placebos, patient-centered outcomes (transformational change)
  • CAM is the opposite of Western meds.  The treatment is already in use, whereas Western medicine is proposed, tried, then used.
  • You don’t need to know the biological mechanism in order to know its effectiveness.
  • MeSH terms currently available: complementary therapies, nonlinear dynamics, systems integration
  • We need more funding, different approaches, Whole Systems Research!
  • Please take a moment to check out the libguide of this presentation.

“Hitchhiker’s Guide to One Corner of the Complementary and Alternative Medicine (CAM) Universe” by  Ron LeFebvre

  • Vitalists are more interested in information (they “know” it works).
  • Empiricists value EBM but may not be great at finding what they’re looking for.
  • Chiropractors don’t like to be associated with medicine.  Use terms like “health care” and “practice” with them.
  • A good chiropractic search string: spinal manipulation OR chiropractic OR manual therapy
  • New graduates are more likely to be EBP savvy.
  • “There’s nothing that makes you more skeptical about research than studying it.”
  • There is no widely-used, well-regarded point-of-service tool to serve chiropractic interests specifically.  They do use Dynamed though.
  • PEDRO–database for physical therapy/exercise therapy that is also useful to chiropractors

Q and A

  • Diet is odd.  Sometimes it is viewed as an alternative medicine, sometimes not.  If it’s a non-western diet, though, it’s considered alternative.
  • NIH funded PROMIS is focused on patient-reported outcomes, particularly in treating anxiety/depression.
  • N-CAM databse has outcome scales and measures