Dr. Dina Brooks, McMaster University, Hamilton, ON
The path from clinical trials to decision making at the bedside is long and systematic reviews play a crucial role in evaluating the evidence derived from multiple randomized controlled trials. Results of Cochrane reviews can be used by patients and clinicians almost immediately and even when the medical decision-making context is complex because benefits, harms, patient preferences and cost need to be factored in. When decisions are shrouded in complex circumstances, practice guidelines and decision aids may help to overcome the multidimensionality of the decision making context. This topic will be explored using the example of pulmonary rehabilitation (PR) in the treatment of chronic obstructive pulmonary disease.
At the end of this presentation, attendees will be able to:
- understand the role of systematic reviews in PR;
- highlight key reviews in rehabilitation; and
- identify the gaps.