Hi Sharon
This protocol looks really good, though I'm sure it will be refined through
feedback from the various lists.
I remain concerned that the study questions centre on the questions and case
mix seen in secondary care. That's fine, and absolutely ap[propriate, for
secondary care practitioners. I have fielded quite a lot of discussion on
how to adapt this study design to the different questions and case mix of
primary care, and we have tentatively decided to fix up a meeting at the 4th
London workshop on teaching EBHC (north London, 1st-5th feb 99), to discuss
a suitable protocol. I'll advertise that meeting (open to all) again on the
ebh list nearer the time and post its outcome on the list.
I and others from primary care are particularly concerned about the validity
of the sampling frame suggested in your proposal to give generalisable
results to "ordinary" primary care. Some of us feel that through the use of
primary care research networks we may be able to establish a valid sampling
frame for primary care practitioners, but that our findings may be invalid
(and results unpublishable) if we recruit clinicians only via special
interest groups on the internet.
Personally, I'm going to have a go at using your own sheets in a primary
care setting with a pocket spirometer, and see what happens. This as well
as, not instead of, hoping to orchestrate a parallel (but different) study
in primary care. Hope to be able to compare and share notes before long!
trish
At 16:57 16/10/98 +0100, you wrote:
>
>Dear Old, New, and Potential members of the Society for the Critical
>Appraisal of the Reliability of the Examination (CARE)
>
>1. A draft of the protocol and forms for our first CARE Study, COAD#1
>(designed both to test the system and to determine the accuracy of a <2
>minute exam in diagnosing chronic obstructive airways disease) has been
>placed on
>http://cebm.jr2.ox.ac.uk/care/protocol-5oct98.html
>
>2. Please look it over.
>
>3. AND PLEASE FORWARD THIS MESSAGE TO ANYBODY ELSE YOU THINK MIGHT BE
>INTERESTED IN PARTICIPATING IN THIS STUDY.
>
>4. If you're interested in becoming one of the collaborators on CARE-COAD
>#1, please email us ([log in to unmask])any
>suggestions for improving the study BY 0700
>Greenwich Mean Time Monday October 26th. You should also organise
>spirometry right NOW, while waiting for the final protocol.
>
>5. We'll have a revised protocol plus your sign-up forms on line not later
>than 29 October. You can join that day and start entering patients at
>once.
>
>6. Since this is our first "go" at this enterprise, we'd suggest you aim
>for getting your 12 patients entered within 2 weeks (rather than our
>eventual target of just one) by 15 November. We'll close the books on 30
>November.
>
>7. History teaches us that we can expect some spectacular goofs in this
>initial attempt to carry out international net-based research, and we hope
>that you (and we!) can maintain our equilibrium and senses of humour as we
>live through it together.
>
>We're really looking forward to hearing from you and bringing you on board
>as a collaborator in this project.
>
>Sharon Straus
>Finlay McAlister
>Dave Sackett
>Douglas Badenoch
>Jon Deeks
>Brian MacDonald
>
>
>
>
>
>
Dr Trish Greenhalgh
Senior lecturer in primary health care
Unit for Evidence-Based Practice and Policy
Department of Primary Care and Population Sciences
University College London and Royal Free Schools of Medicine
Whittington Campus
London N19 5NF
Personal Assistant and Unit Administrator (Marcia Rigby): + 44 (0) 171 288 3246
Fax: + 44 (0) 171 281 8004
web http://www.ucl.ac.uk/primcare-popsci/uebpp/uebpp.htm
email [log in to unmask]
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|