Priority-Setting for Cochrane Review Updates With Clinicians and Consumers [36J

Abstract

INTRODUCTION: The US Satellite of the Cochrane Pregnancy & Childbirth Group was launched in March 2019. One of the goals of the US-PCG was to engage both clinicians and consumers in a priority-setting exercise that aimed to (1) identify which systematic reviews to update and (2) reveal any gaps in current knowledge that require a new review. METHODS: A series of editorial team evaluations narrowed a list of over 600 relevant review titles down to 97, all of which were in 7 topic categories. A Qualtrics survey was used. Respondents self-identified as a clinician/researcher or consumer and then were asked to rank 10 titles into a “highest priority” area and could rank another 20 in a “medium priority” area. This survey was disseminated through various channels, including ACOG, March of Dimes, Cochrane, and social media networks. RESULTS: 63 participated in our survey, with 45 clinicians and 18 consumers. Of the 7 categories, maternal medical problems and complications (MMPC) was the topic of most interest overall (79.4%). MMPC was chosen most by clinicians but was tied with psychosocial factors in postpartum care (PFPC) for consumers. Antiplatelet agents for preventing preeclampsia was the only title in the top 3 priority by both clinicians and consumers, but multiple titles overlapped in the top 10 priority. CONCLUSION: Clinicians and consumers were able to select priority titles for updating reviews with the groups often sharing some consensus. Stakeholder consensus on review topics will be further refined using Delphi methods to a final priority list by the end of 2019.