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The Capa paci city Enhance cement t Pr Progr gram Building Capacity for Quality Cancer Control and Pan-Canadian Guideline Collaboration Melissa ssa Brouwers, s, Ph PhD Na Nati tional Lead, d, CEP, CPAC 1" Discl sclosu

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SLIDE 1

Building Capacity for Quality Cancer Control and Pan-Canadian Guideline Collaboration

The Capa paci city Enhance cement t Pr Progr gram

Melissa ssa Brouwers, s, Ph PhD Na Nati tional Lead, d, CEP, CPAC

1"

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SLIDE 2

Discl sclosu sures s

Aca cade demic c and d Pr Professi ssional

  • 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

Financi cial and d Indu dustr stry

  • None

2"

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SLIDE 3

CEP P Obj bjecti ctives s

Impr prove th the qu quality of ca cance cer by cr creati ting g “e “evide dence ce” ” co communiti ties s by pr promoti ting g th the de developm pment, t, evaluati tion and d upta ptake

  • f cl

clinica cal pr practi ctice ce gu guide delines s

  • Resources
  • n-line database of cancer control guidelines
  • Skills

mentoring, training

  • Social Engagement

exchange of knowledge and best practices

3"

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SLIDE 4

Why Guide delines? s?

  • 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"

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SLIDE 5

Back ckgr ground d

Two major co compo ponents: ts:

  • SAGE Directory of Cancer Guidelines
  • Training and Education Initiative

– Workshops and webinars – Mentorship – Guideline development tools and

resources

5"

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SLIDE 6

SA SAGE (sta

standa dards ds & gu guide delines s evide dence ce)

  • Current and comprehensive searchable

database

  • 2050+ English language cancer control

guidelines

  • Appraised using AGREE ll

6"

www.cancerview.ca/SAGE

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SLIDE 7

SAGE: Evaluati tion Tool

7"

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]

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SLIDE 8

SAGE: Jurisdi sdicti ction (2010-2012)

(2010-2012)

8"

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 /NZ

13 69 (44-92) 58 (31-83) 53 (30-72) 84 (69-89) 30 (6-60)

38 (0-67) Asia

7

58 (44-67) 39 (25-61) 32 (15-50) 75 (64-86) 23 (17-48) 21 (0-46) Middle3 East/33 Africa

5

57 (33-78) 21 (14-25) 13 (8-19) 72 (61-78) 12 (6-17) 28 (4-42) InterD na(onal

23 58 (31-78) 35 (19-56) 30 (16-52) 64 (36-81) 20 (0-38)

18 (0-46)

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SLIDE 9

SAGE: Develope per (2010-2012)

(2010-2012)

9"

GD N

Scope Stake3 Involve Rigour Clarity Apply EI

AHS3 Alberta 63

68"" (44-86) 23"" (14-42) 43"" (19-69) 72"" (50-83) 22"" (10-50) 21"" (0-58)

CCO3 Ontario 43

8533 (75D92) 5533 (42D72) 7733 (35D89) 8233 (58D92) 29"" (15-56) 5933 (46D72)

NHS3 UK 42

63" (39-83) 50"" (19-86) 56"" (31-77) 72"" (53-89) 4733 (10D79) 25"" (4-58)

ASCO3 USA 11

703 (56D83) 5533 (44D72) 6233 (49D75) 7533 (64D86) 3833 (17D58) 4433 (33D69)

DACCC3 Dutch 9

54" (22-72) 46"" (17-72) 36"" (12-59) 68"" (33-83) 27"" (6-52) 13"" (0-29)

SKCA3 Sask. 8

38" (28-53) 18"" (8-28) 13"" (4-22) 69"" (39-80) 16"" (8-26) 2"" (0-8)

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SLIDE 10

SAGE: Lesso ssons s Learned d

10"

  • 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?

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SLIDE 11

Training g and d Edu duca cati tion

  • Training events and workshops
  • Webinars
  • Mentorship
  • Video Shorts
  • Guideline development

tools and resources

11"

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SLIDE 12

Training g and d Edu duca cati tion

EVENT NTS/WORKSHOPS PS – Canadi dian

  • Six in-person events (174 Canadians)
  • Introduction to advanced issues
  • Clinical trainees, clinicians, methodologists,

managers

12"

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SLIDE 13

Training g and d Edu duca cati tion

WEBINA NARS - Inte ternati tional

  • 18 webinars (499 attendees)
  • Covering all aspects of evidence synthesis

and guideline development

  • Presentations and recordings online

13"

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SLIDE 14

Training g and d Edu duca cati tion

MENT NTORSHIP P - Canadi dian

  • Training/mentorship with guideline clients
  • Teleconference, e-mail, in-person

VIDEO Shorts ts - Inte ternati tional

14"

The CEPguidelines Channel (7000 views)

What makes a high quality guideline? Knowledge translation Critical appraisal

  • f evidence
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SLIDE 15

Websi bsite te: ca

cance cerview.ca ca/gu guide delines s

15"

Free Free Pu Publ blic c Free Free Acce ccessi ssibl ble Free Free

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SLIDE 16

Websi bsite te: ca

cance cerview.ca ca/gu guide delines s

16"

SAGE"" Directory"

  • "How"to"Use"
  • "Search"
  • "Reports"
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SLIDE 17

Websi bsite te: ca

cance cerview.ca ca/gu guide delines s

17"

Guideline"" Development"

  • "Fundamentals"
  • "Steps"
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SLIDE 18

Websi bsite te: ca

cance cerview.ca ca/gu guide delines s

18"

AGREE"II"

  • "Domains"""
  • "Examples"
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SLIDE 19

Websi bsite te: ca

cance cerview.ca ca/gu guide delines s

19"

Training"Events"

  • "Upcoming"events"
  • "Past"Events"
  • "Webinars"
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SLIDE 20

Websi bsite te: ca

cance cerview.ca ca/gu guide delines s

20"

About"Us"

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SLIDE 21

Feedba dback ck and d Impa pact ct

  • Capacity Enhancement Program:

– Pr

Promote tes s th the uti tilizati tion of evidence in cancer care

– Str

trength gthens s loca cal ca capa paci city for guideline development through targeted training and access to information

– Enhance

ces s qu quality of ca care by enabling informed and objective decision making

21"

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SLIDE 22

Feedba dback ck and d Impa pact ct

  • Capacity Enhancement Program:

– Redu

duce ces s du dupl plica cati tion of guideline development and supports more effective use of resources

– AGREE II scores faci

cilita tate te co compa pariso son of guidelines, provides bench marks, facilitates improvement

– Pr

Promote tes s knowledge dge to to acti ction through training and support

22"

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SLIDE 23

Te Team

  • Karen Spithoff
  • Caroline Zwaal
  • Ellen Rawski
  • Lavannya Bahirathan
  • Sandy Hsu
  • Sharon Garden
  • Laurie Cocking

23"

Come visit Caroline and Lava at the CPAC booth in the Global Village

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SLIDE 24

Thank You! Questi stions? s?

24"

Dankt Ihnen! Haben Sie Fragen? Спасибо! Вопросы? Dank U! Vragen? Merci! Questions?

  • Grazie! Domande?

Kiitos! Kysymyksiä? Dziękujemy! Pytania? ¡Gracias! ¿Preguntas? Obrigado! Perguntas? ! ?