The Capacity Enhancement Program Building Capacity for Quality Cancer Control and Pan-Canadian Guideline Collaboration Melissa Brouwers, PhD National Lead, CEP, CPAC 1"
Disclosures Academic and Professional National Lead, Capacity Enhancement Program, Canadian Partnership Against Cancer Associate Professor, McMaster University Director, Program in Evidence-Based Care, Cancer Care Ontario Principal Investigator, AGREE Research Enterprise Financial and Industry None 2"
CEP Objectives Improve the quality of cancer by creating evidence communities by promoting the development, evaluation and uptake of clinical practice guidelines Resources on-line database of cancer control guidelines Skills mentoring, training Social Engagement exchange of knowledge and best practices 3"
Why Guidelines? universal concrete project that leads to concrete useful deliverable develop community receptive understand apply can lead to change in behavior can lead to improved patient outcomes respect for science, methods, social engagement and context 4"
Background Two major components: SAGE Directory of Cancer Guidelines Training and Education Initiative Workshops and webinars Mentorship Guideline development tools and resources 5"
SAGE (standards & guidelines evidence) Current and comprehensive searchable database 2050+ English language cancer control guidelines Appraised using AGREE ll www.cancerview.ca/sage 6"
SAGE: Evaluation Tool AGREE II 6 domains 23 items 7-point response scale 1. Scope and purpose 2. Stakeholder involvement 3. Rigour of development 4. Clarity of presentation 5. Applicability 6. Editorial independence Brouwers et al. CMAJ. 2010 Jul 5. [Epub ahead of print] 7"
SAGE: Jurisdiction (2010-2012) Jurisdic(on N Scope Stake.33 Involve Rigour Clarity Apply EI Canada 147 71 (28-97) 36 (8-72) 51 (4-89) 76 (39-92) 28 (8-73) 32 (0-72) USA 50 66 (22-97) 44 (2-72) 45 (10-80) 71 (30-92) 24 (4-67) 31 (0-69) Europe 54 59 (22-86) 38 (16-72) 32 (12-72) 66 (33-92) 21 (0-52) 21 (0-67) UK* 66 64 (39-89) 52 (19-89) 51 (12-89) 73 (53-94) 24 (6-63) 23 (0-63) Australia3 13 69 (44-92) 58 (31-83) 53 (30-72) 84 (69-89) 30 (6-60) 38 (0-67) /NZ Asia 7 58 (44-67) 39 (25-61) 32 (15-50) 75 (64-86) 23 (17-48) 21 (0-46) Middle3 East/33 Africa InterD na(onal 5 57 (33-78) 21 (14-25) 13 (8-19) 72 (61-78) 12 (6-17) 28 (4-42) 23 58 (31-78) 35 (19-56) 30 (16-52) 64 (36-81) 20 (0-38) 18 (0-46) 8"
SAGE: Developer (2010-2012) GD N Scope Stake3 Involve Rigour Clarity Apply EI AHS3 Alberta CCO3 Ontario NHS3 UK ASCO3 USA DACCC3 Dutch SKCA3 Sask. 63 68"" (44-86) 43 8533 (75D92) 42 63" (39-83) 11 703 (56D83) 9 54" (22-72) 8 38" (28-53) 23"" (14-42) 5533 (42D72) 50"" (19-86) 5533 (44D72) 46"" (17-72) 18"" (8-28) 43"" (19-69) 7733 (35D89) 56"" (31-77) 6233 (49D75) 36"" (12-59) 13"" (4-22) 72"" (50-83) 8233 (58D92) 72"" (53-89) 7533 (64D86) 68"" (33-83) 69"" (39-80) 22"" (10-50) 29"" (15-56) 4733 (10D79) 3833 (17D58) 27"" (6-52) 16"" (8-26) 21"" (0-58) 5933 (46D72) 25"" (4-58) 4433 (33D69) 13"" (0-29) 2"" (0-8) 9"
SAGE: Lessons Learned Many guidelines, broad range of quality within domains and across domains Not surprisingly: Resource-wealthy jurisdictions have highest quality documents Resource-wealthy programs have highest quality documents How can we facilitate a better evidence culture within Canada and across other jurisdictions? 10"
Training and Education Training events and workshops Webinars Mentorship Video Shorts Guideline development tools and resources 11"
Training and Education EVENTS/WORKSHOPS Canadian Six in-person events (174 Canadians) Introduction to advanced issues Clinical trainees, clinicians, methodologists, managers 12"
Training and Education WEBINARS - International 18 webinars (499 attendees) Covering all aspects of evidence synthesis and guideline development Presentations and recordings online 13"
Training and Education MENTORSHIP - Canadian Training/mentorship with guideline clients Teleconference, e-mail, in-person VIDEO Shorts - International The CEPguidelines Channel (7000 views) What makes a high quality guideline? Critical appraisal of evidence Knowledge translation 14"
Website: cancerview.ca/guidelines Free Public Free Accessible Free 15"
Website: cancerview.ca/guidelines SAGE"" Directory" -"How"to"Use" -"Search" -"Reports" 16"
Website: cancerview.ca/guidelines Guideline"" Development" -"Fundamentals" -"Steps" 17"
Website: cancerview.ca/guidelines AGREE"II" -"Domains""" -"Examples" 18"
Website: cancerview.ca/guidelines Training"Events" -"Upcoming"events" -"Past"Events" -"Webinars" 19"
Website: cancerview.ca/guidelines About"Us" 20"
Feedback and Impact Capacity Enhancement Program: Promotes the utilization of evidence in cancer care Strengthens local capacity for guideline development through targeted training and access to information Enhances quality of care by enabling informed and objective decision making 21"
Feedback and Impact Capacity Enhancement Program: Reduces duplication of guideline development and supports more effective use of resources AGREE II scores facilitate comparison of guidelines, provides bench marks, facilitates improvement Promotes knowledge to action through training and support 22"
Team Karen Spithoff Caroline Zwaal Ellen Rawski Lavannya Bahirathan Sandy Hsu Sharon Garden Come visit Caroline and Lava at the CPAC booth in the Global Village Laurie Cocking 23"
Thank You! Questions? Dankt Ihnen! Haben Sie Fragen? Спасибо! Вопросы? Dank U! Vragen? Merci! Questions? Grazie! Domande? Kiitos! Kysymyksiä? Dziękujemy! Pytania? Gracias! Preguntas? Obrigado! Perguntas?!? 24"