Sir Iain Chalmers | |
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| Born | Iain Geoffrey Chalmers |
| Alma mater | Middlesex Hospital Medical School, University of London (MBBS) [1] |
| Known for | Cochrane |
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Sir Iain Geoffrey Chalmers is a British health services researcher, one of the founders of the Cochrane Collaboration, [3] and coordinator of the James Lind Initiative, which includes the James Lind Library and James Lind Alliance. [2] [4] [5] [6]
Chalmers qualified in medicine in the mid-1960s, and then practised as a clinician in the United Kingdom and two years (1969–1970) in the Gaza Strip. [7] In the mid-1970s, he became a full-time health services researcher with a particular interest in assessing the effects of care.
Between 1978 and 1992, he was the first director of the National Perinatal Epidemiology Unit in Oxford. [8] There, Chalmers led the development of the electronic Oxford Database of Perinatal Trials (ODPT) [9] and a collection of systematic reviews of randomized trials of care in pregnancy and children published in the two-volume Effective Care in Pregnancy and Childbirth, [10] co-authoring its summary, Guide to Effective Care in Pregnancy and Childbirth. [11]
The National Health Service Research and Development Programme supported extending the approach to other areas of health care. [9] [11] In 1992, Chalmers was appointed director of the UK Cochrane Centre, [3] leading to the development of the international Cochrane Collaboration. [9] [11]
Subsequently, he became founding editor of the James Lind Library, which documents the history and evolution of fair trials of treatments, and helped to establish the James Lind Alliance, a non-profit organization that "aims to identify the most important gaps in knowledge about the effects of treatments". The Library has established strategic agreements with international and non-profit organizations to disseminate its publications to a broad international and multilingual audience. [12] Chalmers inspired champions all over the world leading to the development of the Cochrane Collaboration and by 2011 this collaboration had nearly 30,000 volunteers contributing towards summarising research evidence to improve health. His contributions have been instrumental in advancing international policies on research for health -such as PAHO's Policy on Research for Health, and to promote a better understanding of the importance of building bridges between users and producers of research for health policy and health care delivery.
Chalmers was knighted in 2000. [13] He continues to promote better research for better health care by increasing public appreciation of good research through Testing Treatments interactive and the James Lind Library, and by working with others to reduce waste in research. [14]
Chalmers is a patron of the right to die organization My Death, My Decision. My Death, My Decision wants to see a more compassionate approach to dying in the UK, including giving people the legal right to a physician-assisted death if that is their persistent wish. [25]
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. ... [It] means integrating individual clinical expertise with the best available external clinical evidence from systematic research." The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients.
A randomized controlled trial is a form of scientific experiment used to control factors not under direct experimental control. Examples of RCTs are clinical trials that compare the effects of drugs, surgical techniques, medical devices, diagnostic procedures, diets or other medical treatments.
Prenatal care, also known as antenatal care, is a type of preventive healthcare. It is provided in the form of medical checkups, consisting of recommendations on managing a healthy lifestyle and the provision of medical information such as maternal physiological changes in pregnancy, biological changes, and prenatal nutrition including prenatal vitamins, which prevents potential health problems throughout the course of the pregnancy and promotes the mother and child's health alike. The availability of routine prenatal care, including prenatal screening and diagnosis, has played a part in reducing the frequency of maternal death, miscarriages, birth defects, low birth weight, neonatal infections and other preventable health problems.
Postpartum depression (PPD), also called perinataldepression, is a mood disorder which may be experienced by pregnant or postpartum individuals. Symptoms may include extreme sadness, low energy, anxiety, crying episodes, irritability, and changes in sleeping or eating patterns. PPD can also negatively affect the newborn child.
Archibald Leman Cochrane was a Scottish physician noted for his book, Effectiveness and Efficiency: Random Reflections on Health Services, which advocated the use of randomized controlled trials (RCTs) to improve clinical trials and medical interventions. His advocacy of RCTs eventually led to the creation of the Cochrane Library database of systematic reviews, the UK Cochrane Centre in Oxford and Cochrane, an international organization of review groups that are based at research institutions worldwide. He is known as one of the fathers of modern clinical epidemiology and is considered to be the originator of the idea of evidence-based medicine. The Archie Cochrane Archive is held at the Archie Cochrane Library at University Hospital Llandough, Penarth.
Cochrane is a British international charitable organisation formed to synthesize medical research findings to facilitate evidence-based choices about health interventions involving health professionals, patients and policy makers. It includes 53 review groups that are based at research institutions worldwide. Cochrane has over 37,000 volunteer experts from around the world.
Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy. Gestational diabetes generally results in few symptoms; however, obesity increases the rate of pre-eclampsia, cesarean sections, and embryo macrosomia, as well as gestational diabetes. Babies born to individuals with poorly treated gestational diabetes are at increased risk of macrosomia, of having hypoglycemia after birth, and of jaundice. If untreated, diabetes can also result in stillbirth. Long term, children are at higher risk of being overweight and of developing type 2 diabetes.
Labor induction is the process or treatment that stimulates childbirth and delivery. Inducing (starting) labor can be accomplished with pharmaceutical or non-pharmaceutical methods. In Western countries, it is estimated that one-quarter of pregnant women have their labor medically induced with drug treatment. Inductions are most often performed either with prostaglandin drug treatment alone, or with a combination of prostaglandin and intravenous oxytocin treatment.
A systematic review is a scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from published studies on the topic, then analyzes, describes, critically appraises and summarizes interpretations into a refined evidence-based conclusion. For example, a systematic review of randomized controlled trials is a way of summarizing and implementing evidence-based medicine.
The Enhancing the Quality and Transparency of health research Network is an international initiative aimed at promoting transparent and accurate reporting of health research studies to enhance the value and reliability of medical research literature. The EQUATOR Network is hosted by the University of Oxford, and was established with the goals of raising awareness of the importance of good reporting of research, assisting in the development, dissemination and implementation of reporting guidelines for different types of study designs, monitoring the status of the quality of reporting of research studies in the health sciences literature, and conducting research relating to issues that impact the quality of reporting of health research studies. The Network acts as an "umbrella" organisation, bringing together developers of reporting guidelines, medical journal editors and peer reviewers, research funding bodies, and other key stakeholders with a mutual interest in improving the quality of research publications and research itself. The EQUATOR Network comprises five centres at the University of Oxford, Bond University, Paris Descartes University, Ottawa Hospital Research Institute, and Hong Kong Baptiste University.
Alessandro Liberati was an Italian healthcare researcher and clinical epidemiologist, and founder of the Italian Cochrane Centre.
A high-risk pregnancy is a pregnancy where the mother or the fetus has an increased risk of adverse outcomes compared to uncomplicated pregnancies. No concrete guidelines currently exist for distinguishing “high-risk” pregnancies from “low-risk” pregnancies; however, there are certain studied conditions that have been shown to put the mother or fetus at a higher risk of poor outcomes. These conditions can be classified into three main categories: health problems in the mother that occur before she becomes pregnant, health problems in the mother that occur during pregnancy, and certain health conditions with the fetus.
The National Perinatal Epidemiology Unit (NPEU) is a multi-disciplinary research unit within the Nuffield Department of Population Health at Oxford University. It is located in the Richard Doll Building on the Old Road Campus, in Headington, east Oxford, England.
The United States Cochrane Center (USCC) was one of the 14 centers on the world that facilitated the work of the Cochrane Collaboration. The USCC was the reference center for all 50 US states and US territories, protectorates, and districts: the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the US Virgin Islands. The USCC was also the reference Center for the following countries: Antigua and Barbuda, Bahamas, Barbados, Belize, Dominica, Grenada, Guam, Guyana, Jamaica, Japan, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, and Trinidad and Tobago. The USCC discontinued on February 7, 2018.
Tom Jefferson is a British epidemiologist, based in Rome, Italy, who works for the Cochrane Collaboration. Jefferson is an author and editor of the Cochrane Collaboration's acute respiratory infections group, as well as part of four other Cochrane groups. He was also an advisor to the Italian National Agency for Regional Health Services.
Anne Barbara Michie Anderson was a Scottish reproductive physiologist, researcher, lecturer, and author. Her major contributions were for her research in reproductive physiology. In the last decade of her life, she broadened this to encompass more about women's health generally, including doing clinical trials and working with people focusing in on what would become evidence-based medicine.
The Centre for Evidence-Based Medicine (CEBM), based in the Nuffield Department of Primary Care Health Sciences at the University of Oxford, is an academic-led centre dedicated to the practice, teaching, and dissemination of high quality evidence-based medicine to improve healthcare in everyday clinical practice. CEBM was founded by David Sackett in 1995. It was subsequently directed by Brian Haynes and Paul Glasziou. Since 2010 it has been led by Professor Carl Heneghan, a clinical epidemiologist and general practitioner.
Kay Dickersin is an academic who trained first in cell biology and subsequently epidemiology. She went on to a career studying factors that influence research integrity, in particular publication bias and outcome reporting bias. She is retired Professor Emerita in the Department of Epidemiology at Johns Hopkins Bloomberg School of Public Health where she was Director of the Center for Clinical Trials and Evidence Synthesis there. She was also Director of the US Cochrane Center and the US Satellite of the Cochrane Eyes and Vision Group within the Cochrane Collaboration. Dickersin received multiple awards for her research.
The phrases "further research is needed" (FRIN), "more research is needed" and other variants are commonly used in research papers. The cliché is so common that it has attracted research, regulation and cultural commentary.
Benjamin Djulbegovic is an American physician-scientist whose academic and research focus revolves around optimizing clinical research and the practice of medicine by comprehending the nature of medical evidence and decision-making. In his work, he has integrated concepts from evidence-based medicine (EBM), predictive analytics, health outcomes research, and the decision sciences.
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