Host a Cochrane Associate Centre! The impact of Cochrane Madrid, much more than reviews

Article type
Authors
López-Alcalde J1, Zamora J2, Stallings EC3, Alvarez Diaz N4, Fernandez-Felix BM2, Arevalo-Rodriguez I2, Muriel A2, Carrato A5, Varillas D6, Antón C6, Monge D6
1Cochrane Associate Centre of Madrid, Universidad Francisco de Vitoria-Madrid, Clinical Biostatistics Unit, Hospital Universitario Ramón y Cajal
2Clinical Biostatistics Unit, Hospital Universitario Ramón y Cajal (IRYCIS)/CIBER Epidemiology and Public Health (CIBERESP)
3Clinical Biostatistics Unit, Hospital Universitario Ramón y Cajal
4Library, Hospital Universitario Ramón y Cajal
5Medical Oncology Unit, Hospital Universitario Ramón y Cajal (IRYCIS)
6Universidad Francisco de Vitoria-Madrid
Abstract
Background: Cochrane currently involves 54 Cochrane Review Groups (CRG), responsible for supporting the production of reviews. CRGs are sustained by the Cochrane Editorial Unit (CEU), Methods Groups, Fields and Centres. Current types of geographic centres are Cochrane Centres, Associate Centres, Affiliates and Cochrane Networks. A Cochrane Associate Centre is larger than an affiliate but doesn’t take on all the functions of a Cochrane Centre.

Objectives: to describe the impact of the Cochrane Associate Centre of Madrid (Cochrane Madrid, Spain) on its two hosting institutions, a hospital and a university.

Methods: Cochrane Madrid is located at Hospital Universitario Ramón y Cajal (Madrid). It began in 2015 through an agreement between Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) and UFV-Madrid. In 2018, Cochrane Madrid was officially appointed as a part of the new Cochrane structure.
Cochrane Madrid involves eight members with different profiles (systematic reviewers, statisticians, and information specialists). Only the Centre’s director has a full-time position to Cochrane. The remaining members devote less than 10% of their working time.

Cochrane Madrid aims to 1) promote the use of Cochrane evidence; 2) provide skills to interpret and use the evidence generated by Cochrane, and 3) highlight the need to synthesize the best available evidence rigorously and transparently. We describe the impact of Cochrane Madrid on its two hosting institutions by summarizing the main activities that Cochrane Madrid has promoted.

Results: since its creation in 2015, Cochrane Madrid’s impact on its two hosting institutions has been quite significant, including the following achievements.
1) Training: workshops on systematic reviews (SR) and GRADE methods have been routinely delivered in the undergraduate and postgraduate curriculums and in the continuing medical education scheme (about 134 hours per year).
2) Research production and dissemination: at least 23 Cochrane Reviews published, and nine presentations in international congresses delivered.
3) Dissemination of Cochrane methods: the Health Technology Assessment Commission of the hospital has adopted GRADE.
4) The opening of new research areas in the hosting institutions, all of them in evidence synthesis: sex and gender research, prognostic research (factors and models), manual search of clinical trials in the area of oncology, and the use of new software for systematic reviews (EPPI-Reviewer).

Conclusions: Cochrane Madrid demonstrates that hosting a Cochrane Associate Centre is highly valuable for hospitals and universities. Besides review production, a Cochrane Centre contributes to the under- and post-graduate curricula and promotes informed decision making in healthcare.

Patient or healthcare consumer involvement: the integration of a Cochrane Associate Centre in the hospital and the university promotes research and clinical decisions that are based on questions relevant to patients.