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Abstract
Introduction: The Cochrane Collaboration aims to minimise bias in reviews, but we may be creating or sustaining biases in the way we organise ourselves. First, many contributors have a background in medicine or academia, and both these professions have traditionally discriminated against women. Second, the ethos of the Collaboration depends on individuals making considerable efforts on top of their existing jobs over long periods of time. This is likely to discriminate against women, as they are more likely to be the main carers of children and have less flexibility to work outside office hours. Third, the Collaboration is heavily dependent on networking; in the workplace, this is traditionally a male practice. These and similar mechanisms may also cause imbalance in the participation of other groups, including people from developing countries.