Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data...

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Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER FOR EVIDENCE SYNTHESIS IN HEALTH

Transcript of Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data...

Page 1: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

Making Evidence Synthesis Data Open and Shareable

Ian Saldanha, MBBS, MPH, PhD

@saldanha_ian

April 14, 2019

CENTER FOR

EVIDENCE SYNTHESIS IN HEALTH

Page 2: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

Where would YOU go to find the evidence behind interventions for

improving your health?

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Page 3: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

What is evidence-based healthcare?

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“The integration of best research evidence with clinical expertise and patient values.”

Sackett D et al, 2000

Clinical expertise

Patient values

Best research evidence

EBHC

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Evidence

Generation

(e.g.,

Clinical

Trials)

Evidence

Synthesis

(e.g.,

Systematic

Reviews)

Clinical

Practice

Guidelines

Evidence-based

Healthcare

Evidence-based healthcare paradigm

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5https://www.aaas.org/sites/default/files/NIHBud;.jpg

In b

illio

ns

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One problem with this paradigm

Evidence

Generation

(e.g.,

Clinical

Trials)

Evidence

Synthesis

(e.g.,

Systematic

Reviews)

Clinical

Practice

Guidelines

Evidence-based

Healthcare

Page 7: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

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One problem with this paradigm

Evidence

Generation

(e.g.,

Clinical

Trials)

Evidence

Synthesis

(e.g.,

Systematic

Reviews)

Clinical

Practice

Guidelines

Evidence-based

Healthcare

Page 8: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

Multiple sources of evidence, i.e., data

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Public data sources▪ Short report (e.g., letter, conference abstract) ▪ Journal article ▪ Trial registration▪ Results on trial registry▪ Information from regulatorsNon-public data sources▪ Unpublished manuscript▪ Individual participant data (IPD)▪ Grant proposal▪ Study protocol▪ Case report form▪ Memos and emails Mayo-Wilson, 2015. DOI: 10.1186/s13643-015-0134-z OA

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Multiple data sources

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Mayo-Wilson, 2015. DOI: 10.1186/s13643-015-0134-z OA

Doshi, 2013. DOI: 10.1136/bmj.f2865

Page 10: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

CENTER FOR

EVIDENCE SYNTHESIS IN HEALTH

Our team

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Page 11: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

CENTER FOR

EVIDENCE SYNTHESIS IN HEALTH

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Our vision

Free, open access to evidence synthesis data• Re-use during updates of the systematic review• Sharing for various purposes

• Transparency• Reducing redundancy and research waste• Secondary analyses• Methodologic and other kinds of research

A global, community resource

From the Unite for Sight “About US” website…

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Systematic Review Data Repository (SRDR)

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• Free, open-source• Web-based, collaborative workspace for conducting

systematic reviews (e.g., screening, data extraction)

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Data sharing through SRDR

• Free, open-access• Web-based repository• Each project has its own

Digital Object Identifier (DOI) • Published datao 132 projects o Median=69 studies per project

• 2/3 projects contain structured data

https://srdr.ahrq.gov/projects/published

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Projects with publicly available data in SRDR

Annual CumulativeSaldanha et al. (manuscript submitted)

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Foci of the 132 projects

n %

Saldanha et al. (manuscript submitted)

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Topic areas of the 132 projectsn %

Saldanha et al. (manuscript submitted)

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Making systematic review data publicly available

Opportunities

Advance open science

Minimize redundancy

Facilitate systematic review updates

Drive methodological research

Wolfenden et al. Systematic Reviews (2016)Saldanha et al. (Submitted)

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Making systematic review data publicly available

Opportunities Challenges

Advance open science Perpetuation of errors (if extracted data had errors)

Minimize redundancy Intellectual property (IP) considerations

Facilitate systematic review updates

Revenue considerations

Drive methodological research

Wolfenden et al. Systematic Reviews (2016)Saldanha et al. (Submitted)

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Some other platforms

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Why should YOU care?

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1. Economics

2. Transparency

3. Your health!

–Relevant to decision-makers – your doctor, you!

Page 21: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

Where would YOU go to find the evidence behind interventions for

improving health?

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Evidence

Generation

(e.g.,

Clinical

Trials)

Evidence

Synthesis

(e.g.,

Systematic

Reviews)

Clinical

Practice

Guidelines

Evidence-based

Healthcare

Page 22: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

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Funding

• Since SRDR’s launch in 2012

• Disclaimer: No statement in my presentation should be construed as an official position of AHRQ or of the United States Department of Health and Human Services.

Page 23: Making Evidence Synthesis Data Open and Shareable Saldanha... · Making Evidence Synthesis Data Open and Shareable Ian Saldanha, MBBS, MPH, PhD @saldanha_ian April 14, 2019 CENTER

CENTER FOR

EVIDENCE SYNTHESIS IN HEALTH

THANK [email protected]

@saldanha_ian

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Providence, Rhode Island