Structured summaries in French to facilitate access to findings of Cochrane Systematic reviews to primary care physicians: a Swiss initiative

Article type
Authors
Rege M1, Peytremann-Bridevaux I1, Burnand B1
1IUMSP, Lausanne, Switzerland; 2University of Oxford, Barnett House, Oxford, UK
Abstract
Background: One challenge of the Re seau francophone Cochrane (RFC) is to disseminate Cochrane Systematic reviews (CR) to Frenchspeaking people. We developed a one page summary to facilitate the dissemination of CR results to primary care physicians (PCPs). Objectives: The aims of this study were to describe the structure and development process of the summary and to evaluate the perceived usefulness of the summaries by PCPs. Methods: We developed a structured summary that was approved by the main medical journal in the French speaking part of Switzerland. CRs were selected using the following criteria: potential interest for PCPs, conclusive results, recent and new. The summaries were written by a person with methodology skills and by a senior clinician specialist of the corresponding question, under the supervision of an expert. The editorial team reviewed all abstracts before sending them for publication. We aimed at publishing 6 8 abstracts/year. One year after the first publication, a short 5-question form was e-mailed to the 172 PCPs participating to teaching and research activities at the University of Lausanne. Results: The CR summary includes the following items: clinical scenario, clinical question, context, results, limitations, CR authors conclusion, and answer to the clinical question. Between January 2009 and February 2010, 9 summaries were published. The survey response rate was 24% (n = 41). Fifty-nine percent of the responders (n = 24) mentioned having seen the abstracts. Among them, 67% mentioned they read all summaries and 33% mentioned they read only those who interested them; the format of the summary was reported to be adequate by 63% of PCPs; 70% responded that the summaries were helpful in their clinical practice. Conclusion: The survey response rate was not high enough to draw strong conclusions, but they indicate an interest among the PCPs in the French-speaking part of Switzerland toward such an initiative.