THE COCHRANE LIBRARY ON WILEY INTERSCIENCE

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THE COCHRANE LIBRARYON WILEY INTERSCIENCE

• Sophia Wu ???
• John Wiley Sons (Asia) Pte Ltd

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WILEY ????

• John Wiley Sons, Inc. ???1807?
• ??????
• - Professional/Trade (P/T) ??/??
• - Higher Education ????
• - Scientific, Technical, Medical, and
  Scholarly (STMS)
• 2007 ? Wiley-Blackwell
• ???? 3?????? 1,400??????
• ?????? 3,000????

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Electronic Journals Backfile Collections
Current Protocols Onlines
OnlineBooks E-MRWs
The Cochrane Library EBM Resources (Essential
Evidence Plus, HEED)
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Professor Archibald Leman Cochrane, CBE FRCP
FFCM, (1909 - 1988)

• Archie Cochrane ???????????????????,??????????????
  ,?? Cochrane Collaboration ???????????????

• 1972??????- Effectiveness and Efficiency Random
  Reflections on Health Services ???????????
• ????????,??????????????????????
• ?????????(Randomised Controlled Trials,
  RCTs)???,???????????

CBE ????(??????????) FRCP ?????????? FFCM
???????????????
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??????

• 1979 -gt Archie Cochrane ?????????????????,????????
  ????????,??????????????,???????????

• 1980 -gt ???????????? David Sackett
  ????????????????????????,???????,???????????????

• 1992 -gt ?????? Cochrane??? National Health
  Service (NHS)???????????,?????????????????????????
  ????,?????????????????????????????????

• 1993 -gt Cochrane Collaboration ????

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???????? ????
Best research evidences
EBM
Clinical expertise
Patient expectations
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???????? ????

• Therapy / Prevention ??/?????
• ???????????????? (???????????????)
• Diagnosis (tests) ????
• ????????????? (McBurneys sign??????????????????)
• Harm / Etiology ??/????
• ??????????????? (??????????????????????)
• Prognosis ??
• ???? (??) ??????????? (?? Ransons criteria
  ?????????????)

?????? ??????????? ?????????
????? ??????????????????
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???????????

• ?????????????????
• ???? (background question) v.s. ???? (foreground
  question)
• Patient, ???????????????
• Intervention, ??????????, ????????
• Comparison intervention, ????????????,
  ???????????????
• Outcome ?????, ???????????????
• ?????????
• ??????????????
• ??????????
• ??????????????

?????? ??????????? ?????????
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????????? The Lancet?New England Journal of
Medicine?British Medical Journal and the Journal
of the American Medical Association ???? Cochrane
Reviews ?????????????? (gold standard
),???????????????????????
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WHAT IS THE COCHRANE LIBRARY?
The Cochrane Library is a collection of
Evidence-Based Medicine databases

• The Cochrane Database of Systematic Reviews
  (Cochrane Reviews)
• The Cochrane Database of Reviews of Effects
  (Other Reviews)
• The Cochrane Central Register of Controlled
  Trials (Clinical Trials)
• The Cochrane Methodology Register (Methods
  Studies)
• Health Technology Assessment Database (Technology
  Assessments)
• NHS Economic Evaluation Database (Economic
  Evaluations)
• It also contains information about The Cochrane
  Collaboration and the Cochrane Collaborative
  Review Groups

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Cochrane Database of Systematic Reviews (CDSR
Cochrane Reviews)

• ???????????????????????????,?????????????(51??????
  ?)
• ?????????????
• ????????????,????????
• ???????????
• ??????????????????????????????????????????????????
  ?????????????,??????????????????,?????????????????
  ??
• ?????????????,?????????????????????????,????????,?
  ?????????????
• ?? 3,385? Reviews? 1,786????? Protocols

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Cochrane Review Groups (CRGs)
Acute Respiratory Infections Group Airways Group
Anaesthesia Group Back Group Bone, Joint and
Muscle Trauma Group Breast Cancer Group
Colorectal Cancer Group Consumers and
Communication Group Cystic Fibrosis and Genetic
Disorders Group Dementia and Cognitive
Improvement Group Depression, Anxiety and
Neurosis Group Developmental, Psychosocial and
Learning Problems Group Drugs and Alcohol Group
Ear, Nose and Throat Disorders Group Effective
Practice and Organisation of Care Group Epilepsy
Group Eyes and Vision Group Fertility
Regulation Group Gynaecological Cancer Group
Haematological Malignancies Group Heart Group
Hepato-Biliary Group HIV/AIDS Group
Hypertension Group Incontinence Group
Infectious Diseases Group Inflammatory Bowel
Disease and Functional Bowel Disorders Group
Injuries Group Lung Cancer Group Menstrual
Disorders and Subfertility Group Metabolic and
Endocrine Disorders Group Methodology Review
Group Movement Disorders Group Multiple
Sclerosis Group Musculoskeletal Group Neonatal
Group Neuromuscular Disease Group Oral Health
Group Pain, Palliative and Supportive Care
Group Peripheral Vascular Diseases Group
Pregnancy and Childbirth Group Prostatic and
Urologic Cancers Group Renal Group
Schizophrenia Group Sexually Transmitted
Diseases Group Skin Group Stroke Group Tobacco
Addiction Group Upper Gastrointestinal
Pancreatic Diseases Group Wounds Group
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Database of Abstracts of Reviews of Effects
(DARE Other Reviews)

• DARE??????????????????????????????????,?????????
• ????????????????,???????????????????
• ???????????????????? 3000??????????,??????????????
  ????????????????
• ????????????(University of York)? Centre for
  Reviews and Dissemination (CRD) ???
• ?? 7,048???

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Cochrane Central Register of Controlled Trials
(CENTRAL Clinical Trials)

• ????MEDLINE?EMBASE?????,??????????????????????????
  ????????????????????,???????
• ????????????MEDLINE????????????????????,?? US
  Cochrane Center ???????????
• ????????????????????
• ?? 527,885???

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Cochrane Methodology Register (CMR Methods
Studies)

• ?????????????????????????
• After the Womens Health Initiative
  decision making and trust of women taking hormone
  therapy. ??????????????????
• ?? ????????????????????
• ????????????????????????MEDLINE???????
• ?????????????? (????),????????????,???????????
• ?? 10,191???

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Health Technology Assessment Database (HTA
Technology Assessments)

• ?????????????? (???????) ???,?????????????????????
  ???????
• Accommodative intraocular lenses for
  age-related cataracts. ????????????????
• HTA ????????????,??????????????,???????????????,??
  ????????????,?????????????
• ??????????????????
• ????????????(University of York)? Centre for
  Reviews and Dissemination (CRD)
  ???,????????INAHTA???????????
• ?? 7,177???

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NHS Economic Evaluation Database (NHSEED
Economic Evaluations)

• ???????????????,??????????????????
• ??????????????????????,?????????????????
• ?? 5000?????????????????
• ????????????(University of York)? Centre for
  Reviews and Dissemination (CRD) ???
• ?? 22,978???

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About The Cochrane Collaboration (About
Cochrane Groups)

• Cochrane Collaboration Steering Group
• ??????????????
• ? The Cochrane Collaboration???????????????,?????
  
• Cochrane Review Groups (CRGs)
• ???????????????????????
• Fields
• ??????? CRG??????????????????????????????
• Methods Groups
• Networks - Cochrane Consumer Network
• Centres

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Nordic
UK
Dutch
Canadian
German
Italian
US
Iberoamerican
Chinese
Thai Network
South Asian Network
Brazilian
Australasian
South African
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Finding Information
The Cochrane Library has many features that make
finding the information you are after fast and
accurate By Browse By Search ? Basic Search
? Advanced Search ? MeSH Search ? Search
History ? Saved Searches
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Basic Search
??????????????????????????????????
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Advanced Search
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Advanced Search - Example

• Antibiotics for acute otitis media in children
  (The Cochrane Database of Systematic Reviews
  2004, Issue 1.)
• Cochrane Review Objective to assess the effects
  of antibiotics for children with acute otitis
  media
• Dr Chris Cates Project Given antibiotics
  prescription, but advised to wait 1-2 days, use
  only if symptoms remain
• In 2004, the American Academy of Pediatrics and
  the American Academy of Family Physicians
  guideline revised to include deferring
  antibiotics for children with ear infections who
  are not unduly ill

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Advanced Search - Example
?????????????(???????????????????????????DOI?)????
????????????,?? wild card (???)???????(AND?OR?NOT
), ????????????????,???????????? ?????
antibiotic ? otitis ? (??????)
?????????, ????????????????????????? Search All
Text ??????????? All of The Cochrane Library"
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New ???????????protocol?review Updated
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Advanced Search Example (MeSH Search)
?? Go To MeSH Tree ?????????????
?? Thesaurus ???? MeSH ???
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Advanced Search Example (MeSH Search)
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Advanced Search Example (Search History)
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