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Evidence summaries: the evolution of a rapid review approach.

Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D - Syst Rev (2012)

Bottom Line: Topic areas have included questions of clinical effectiveness to questions on health systems and/or health services.Knowledge users have reported evidence summaries to be of high value in informing their decisions and initiatives.We have developed an approach that appears to be addressing a need by knowledge users for timely, user-friendly, and trustworthy evidence and have transparently reported these methods here for the wider rapid review and scientific community.

View Article: PubMed Central - HTML - PubMed

Affiliation: Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, Box 208, Ottawa, Ontario, K1H 8L6, Canada.

ABSTRACT

Background: Rapid reviews have emerged as a streamlined approach to synthesizing evidence - typically for informing emergent decisions faced by decision makers in health care settings. Although there is growing use of rapid review 'methods', and proliferation of rapid review products, there is a dearth of published literature on rapid review methodology. This paper outlines our experience with rapidly producing, publishing and disseminating evidence summaries in the context of our Knowledge to Action (KTA) research program.

Methods: The KTA research program is a two-year project designed to develop and assess the impact of a regional knowledge infrastructure that supports evidence-informed decision making by regional managers and stakeholders. As part of this program, we have developed evidence summaries - our form of rapid review - which have come to be a flagship component of this project. Our eight-step approach for producing evidence summaries has been developed iteratively, based on evidence (where available), experience and knowledge user feedback. The aim of our evidence summary approach is to deliver quality evidence that is both timely and user-friendly.

Results: From November 2009 to March 2011 we have produced 11 evidence summaries on a diverse range of questions identified by our knowledge users. Topic areas have included questions of clinical effectiveness to questions on health systems and/or health services. Knowledge users have reported evidence summaries to be of high value in informing their decisions and initiatives. We continue to experiment with incorporating more of the established methods of systematic reviews, while maintaining our capacity to deliver a final product in a timely manner.

Conclusions: The evolution of the KTA rapid review evidence summaries has been a positive one. We have developed an approach that appears to be addressing a need by knowledge users for timely, user-friendly, and trustworthy evidence and have transparently reported these methods here for the wider rapid review and scientific community.

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Short stay unit evidence summary (excerpt).
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Related In: Results  -  Collection

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Figure 1: Short stay unit evidence summary (excerpt).

Mentions: This step includes developing a concise report that succinctly yet methodically covers all components we set out to address in the proposal. An initial template for the evidence summary report was developed iteratively based on early feedback from the knowledge users. Later formats have incorporated ideas from the structured summaries of systematic reviews developed by the Supporting Policy relevant Reviews and Trials Collaboration [14] as well as evidence reviews produced by the Centre for Clinical Effectiveness [15], in addition to continued feedback from knowledge users and brainstorming from the research team. The evidence summary template now includes a cover page introducing the question and partnerships, a summary page highlighting the key messages of the report and describing its intended audience, a disclosure page, a page that outlines the background to the question and a table of contents, the body of the report that summarizes included studies and provides bottom line statements, a reference list, a methods page, and a final information page including acknowledgements and author information (Figure 1). Most evidence summaries are between 10 and 15 pages long.


Evidence summaries: the evolution of a rapid review approach.

Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D - Syst Rev (2012)

Short stay unit evidence summary (excerpt).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3351736&req=5

Figure 1: Short stay unit evidence summary (excerpt).
Mentions: This step includes developing a concise report that succinctly yet methodically covers all components we set out to address in the proposal. An initial template for the evidence summary report was developed iteratively based on early feedback from the knowledge users. Later formats have incorporated ideas from the structured summaries of systematic reviews developed by the Supporting Policy relevant Reviews and Trials Collaboration [14] as well as evidence reviews produced by the Centre for Clinical Effectiveness [15], in addition to continued feedback from knowledge users and brainstorming from the research team. The evidence summary template now includes a cover page introducing the question and partnerships, a summary page highlighting the key messages of the report and describing its intended audience, a disclosure page, a page that outlines the background to the question and a table of contents, the body of the report that summarizes included studies and provides bottom line statements, a reference list, a methods page, and a final information page including acknowledgements and author information (Figure 1). Most evidence summaries are between 10 and 15 pages long.

Bottom Line: Topic areas have included questions of clinical effectiveness to questions on health systems and/or health services.Knowledge users have reported evidence summaries to be of high value in informing their decisions and initiatives.We have developed an approach that appears to be addressing a need by knowledge users for timely, user-friendly, and trustworthy evidence and have transparently reported these methods here for the wider rapid review and scientific community.

View Article: PubMed Central - HTML - PubMed

Affiliation: Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, Box 208, Ottawa, Ontario, K1H 8L6, Canada.

ABSTRACT

Background: Rapid reviews have emerged as a streamlined approach to synthesizing evidence - typically for informing emergent decisions faced by decision makers in health care settings. Although there is growing use of rapid review 'methods', and proliferation of rapid review products, there is a dearth of published literature on rapid review methodology. This paper outlines our experience with rapidly producing, publishing and disseminating evidence summaries in the context of our Knowledge to Action (KTA) research program.

Methods: The KTA research program is a two-year project designed to develop and assess the impact of a regional knowledge infrastructure that supports evidence-informed decision making by regional managers and stakeholders. As part of this program, we have developed evidence summaries - our form of rapid review - which have come to be a flagship component of this project. Our eight-step approach for producing evidence summaries has been developed iteratively, based on evidence (where available), experience and knowledge user feedback. The aim of our evidence summary approach is to deliver quality evidence that is both timely and user-friendly.

Results: From November 2009 to March 2011 we have produced 11 evidence summaries on a diverse range of questions identified by our knowledge users. Topic areas have included questions of clinical effectiveness to questions on health systems and/or health services. Knowledge users have reported evidence summaries to be of high value in informing their decisions and initiatives. We continue to experiment with incorporating more of the established methods of systematic reviews, while maintaining our capacity to deliver a final product in a timely manner.

Conclusions: The evolution of the KTA rapid review evidence summaries has been a positive one. We have developed an approach that appears to be addressing a need by knowledge users for timely, user-friendly, and trustworthy evidence and have transparently reported these methods here for the wider rapid review and scientific community.

Show MeSH