Priority Setting in the Cochrane Back and Neck Group

Article type
Authors
Furlan A1, Pardo Pardo J2, Harbin S1, Chou R1
1Cochrane Back and Neck Group
2Cochrane Musculoskeletal Group
Abstract
Background: Low back pain (LBP) affects 80% of people at some time in their lives. There are many clinical practice guidelines on the management of low back pain produced by various national and international groups. CBN has an editorial board composed of internationally renowned scientists, clinicians and consumers.

Objectives: To develop a set of priorities for reviews in the CBN

Methods: In the past 3 years, CBN conducted priority setting with organizations that develop clinical practice guidelines for LBP. We contacted 7 groups (one in the UK, one in the Netherlands, one in the US, one in Canada, and three in Australia) and were able to engage five. We sent a spreadsheet listing 70 published reviews and asked the teams to highlight the ones we should prioritize for update; we also asked teams to propose new titles. Subsequently, the CBN reviewed the top 10 that were recommended by guideline developers, and also the top 10 reviews most accessed and cited in the Cochrane Library in 2017. The reviews that were common across at least two of these lists were selected. Finally, the CBN editorial board decided on broad topic areas and other areas of clinical interest to finalize priorities.

Results: The priority list has been useful in guiding the acceptance or rejection of new titles submitted to CBN. Since 2018, CBN has received 5 proposals from teams interested in starting a Cochrane review, and rejected all of them because they did not match a priority set by our group. However, the current list of priorities does not include the opinions of people that are directly impacted by Cochrane reviews such as patients with LBP, their caregivers, their families, and frontline clinicians.

Conclusions: Our current process of prioritizing reviews relies on our 2017 list of priorities and the subjective opinions of the members of our editorial board. This list needs to be updated on a regular basis.

Patient or healthcare consumer involvement: There is a need to establish a diverse stakeholder group composed of people living with chronic LBP, patient advocates, frontline clinicians, provincial health authorities, and charity organizations to set priorities for reviews in the CBN.