WikiRecs: rapid creation and dissemination of evidence summaries and trustworthy recommendations to point of care

Article type
Year
Authors
Vandvik PO1
1Norwegian Institute of Public Health, Norway
Abstract
Background: Dissemination of best current evidence to clinicians and patients at the point of care is often ineffective, with systematic review organisations and guideline organisations facing major barriers. During the hiatus between publication of practice-changing evidence and dissemination of trustworthy evidence summaries and guideline recommendations, patients suffer from suboptimal care.

Objectives: Faced with potentially practice-changing evidence, we aim to create and disseminate rapidly trustworthy recommendations, evidence summaries and decision aids in:
1. a novel and user-friendly single page synopsis format published in the BMJ (WikiRecs);
2. digitally structured multi-layered presentation formats available 'online anywhere, anytime on all devices' (www.magicapp.org); and
3. other dissemination channels (e.g. BMJ Best Practice).

Methods: A collaborative network of clinicians, researchers and experts in systematic review and guideline development will, together with the BMJ, be responsible for the creation and publication of WikiRecs. The process starts with the rapid creation of a systematic review (within 60 days) - if needed - followed by creation of WikiRecs that will be submitted together with the review within the next 15 days and published in the journal through an expedited peer-review process within 90 days.

Results: We will present three pilot WikiRecs (e.g. steroids in pneumonia) to demonstrate feasibility of our process and the proposed publication formats.

Conclusions: New and more effective ways of synthesizing and disseminating evidence to point of care through trustworthy recommendations, evidence summaries and decision aids available in a high impact medical journal and Magicapp could largely impact future strategies for organisations charged with developing systematic reviews, guideline recommendations and decision aids.