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Editorials Christmas 2013: Editorials

The Cochrane Collaboration at 20

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f7383 (Published 18 December 2013) Cite this as: BMJ 2013;347:f7383

Rapid Response:

Re: The Cochrane Collaboration at 20

While it's lovely to get mentioned in the above article I was slightly disappointed that my third mention mischaracterises my thinking. Richard states "Brassey suggests that it might be possible to depend simply on the best trial or trials reported in core journals."

If that interpretation came from my article then it's down to my clumsy editing of a longer article I wrote. The section of the article Richard comments on above started with an introductory sentence stating:

“In recent years there have been a number of articles that have suggested, to differing degrees, that doing things more quickly can give you the same or similar results to the Cochrane methodology.”

The point being, can we take short-cuts to arrive at robust answers? This is a vitally important question as there is an absolute need for the costs associated with systematic review production to be dramatically reduced. Using the largest trial, or articles from a sample of publications, can give us real hints at the likely outcome of a fuller systematic review. But this area is poorly researched. Frustratingly much research in this area seems to increase the cost of production, weeding out small amounts of bias for a disproportionately large amount of effort. I sometimes wonder (at my most cynical) that this presents an advantage for Cochrane; longer more methodologically intensive systematic reviews increase the barriers to entry for competitors. After all, if you could do a systematic review with the press of a button where would that leave Cochrane’s business model?

But that is, given the time of year, highly uncharitable and should not detract from the amazing efforts of the founders and volunteers at Cochrane.

Competing interests: I run, and am a shareholder in, the Trip Database (www.tripdatabase.com). I am also working on systems and methods to reduce the cost of systematic review production (e.g. http://blog.tripdatabase.com/2013/10/trip-rapid-reviews-systematic-reviews.html)

29 December 2013
Jon R Brassey
Director and Senior Manager
Trip Database
Salisbury Road, Redland, Bristol BS6