RSS PRIMARY HEALTH CARE STUDY GROUP meeting
Monday 3rd July 2006
Royal Statistical Society, Errol St, London
2-5pm
(directions http://www.rss.org.uk/about/direction.html)
No pre-registration is necessary
What is appropriate evidence for improving primary care?
2pm JONATHAN MANT (University of Birmingham)
Transfer of Evidence into Primary Care
The long term management of many diseases is performed in primary care, yet
the evidence on which clinical guidelines and treatment is based is often
largely derived from studies carried out in secondary care settings. Does
this matter? Examples from the field of stroke prevention, including blood
pressure control after stroke, and management and identification of atrial
fibrillation will be discussed.
2.25pm GENE FEDER (Queen Mary, University of London)
What do primary care guideline developers want from research and what do
they get?
I will discuss the kind of research evidence that guideline developers
search for to formulate recommendations to primary care clinicians: large
well designed pragmatic trials with participants representing primary care
patients including ethnic and social diversity and co-morbidity plus trial
or cohort data that allows risk stratification and ascription of
differential benefit to subgroups of patients. I will give examples of the
gap between this ideal and reality.
2.50pm RAFAEL PERERA (University of Oxford)
Implementing evidence obtained from systematic reviews
Implementation of an intervention generally depends on context, timing, and
current knowledge; particularly for non-pharmacological interventions. For
this reason, a systematic review will present a number of different
clinical trials where an intervention is delivered using alternative
methods. This is problematic, because if a systematic review provides
evidence that a particular intervention is effective, it is not clear what
the intervention should consist of or how to implement it. I will present
examples and discuss ways of tackling the problem.
3.15pm tea
3.45pm Discussion in groups
4.30pm Rounding up and conclusion
5pm Close
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