Peter Tugwell | |
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Born | |
Nationality | Canadian |
Education | University of London (M.B.B.S., M.D.) McMaster University (M.Sc.) |
Known for | Promoter of clinical epidemiology and evidence-based medicine |
Scientific career | |
Fields | Medicine |
Institutions | University of Ottawa |
Peter Tugwell (born March 30, 1944) is a Canadian physician and Professor in the Department of Medicine and School of Epidemiology and Public Health at the University of Ottawa. He is known for promoting clinical epidemiology and championing for health equity worldwide. In 2013 he was named Officer of the Order of Canada for his efforts as "tireless contributor to global health". [1]
Tugwell was born in Egypt and raised in India, Germany, and Hong Kong, due to his father having been an officer in the British Army. [2]
Tugwell is married to Jane Tugwell and has one son (David) and one daughter (Laura). [2]
After earning his medical degree at the Royal Free Hospital of the University of London, Tugwell and his wife moved to Nigeria to pursue his research into liver disease. [2] He returned to England three years later to start a family. In 1975, he emigrated to Canada, where he got a one-year job as chief resident in internal medicine at McMaster University Medical School. In there, a chance encounter with David Sackett lead him to take a course in clinical epidemiology and enrolled in the master's program. [2]
A year after finishing his master's degree, Tugwell became a faculty member of the department of epidemiology, and two years later spent two five-year terms as chair of the department of epidemiology and biostatistics at McMaster University Medical School. [2] In 1991 he moved to Ottawa to become the Chairman of the Department of Medicine. After ten years in the position, he became the director of the Centre for Global Health at the University of Ottawa. [3] In 2001 he was appointed as co-editor-in-chief for the Journal of Clinical Epidemiology. [4]
Tugwell holds the Canada Research Chair in Health Equity at the University of Ottawa, focused on improving health for the world's poor. [5]
Tugwell has been instrumental in the creation of multinational collaborations in different clinical epidemiology areas. He was the founding director of the International Clinical Epidemiology Network Training Centre at McMaster University from 1982 to 1991, becoming later the Secretary of INCLEN's North American group (CanUSAClen). [6] Tugwell is one of the founders of the Cochrane Collaboration, a nonprofit organization that conducts systematic reviews of health care interventions, diagnostic tests and prognostic studies. Tugwell was the chair of the first annual Cochrane Colloquium in Oxford, UK, in 1993. [7] This same year he became the founding co-ordinating editor of Cochrane Musculoskeletal. [8] In 2005 he registered the Campbell and Cochrane Equity Methods group to promote a better reporting of the effects of interventions not only on the general population, but also on the disadvantaged in order to build the evidence base of interventions that could reduce health inequities. [9]
In 1992, together with Maarten Boers they sparked the creation of OMERACT, an organization that "strives to improve endpoint outcome measurement through a data driven, iterative consensus process involving relevant stakeholder groups". [10] OMERACT is the pioneer organization promoting core outcome sets in clinical trials. [11]
Tugwell has published more than 1000 papers and make it to the top one-percent World Highly Cited Researchers Listing in social sciences created by Web of Science in 2019, 2020 and 2021. [12]
His previous students include Vivian Welch. [13]
Tugwell is a fellow of the Canadian Academy of Health Sciences. [14]
In 2008 he received the Canadian Institutes of Health Research Michael Smith Prize as Canada's 2008 Health Researcher of the Year for Health Services and Systems and Population Health Research. [15]
In 2013 he was awarded as Officer of the Order of Canada for "his contributions as an epidemiologist reducing global disparities in health care access". [16] In 2020 he received the 2020 CIHR Barer-Flood Prize that honours and recognizes an exceptional researcher in the area of health services and policy research. [17]
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.
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.
The Stanford University School of Medicine is the medical school of Stanford University and is located in Stanford, California, United States. It traces its roots to the Medical Department of the University of the Pacific, founded in San Francisco in 1858. This medical institution, then called Cooper Medical College, was acquired by Stanford in 1908. The medical school moved to the Stanford campus near Palo Alto, California, in 1959.
Gordon Henry Guyatt is a Canadian physician who is Distinguished University Professor in the Departments of Health Research Methods, Evidence and Impact and Medicine at McMaster University in Hamilton, Ontario. He is known for his leadership in evidence-based medicine, a term that first appeared in a single-author paper he published in 1991. Subsequently, a 1992 JAMA article that Guyatt led proved instrumental in bringing the concept of evidence-based medicine to the world's attention.[2] In 2007, The BMJ launched an international election for the most important contributions to healthcare. Evidence-based medicine came 7th, ahead of the computer and medical imaging. [3][4] Guyatt's concerns with the role of the medical system, social justice, and medical reform remain central issues that he promoted in tandem with his medical work. He was named to the Canadian Medical Hall of Fame in 2015.
David Lawrence Sackett was an American-Canadian physician and a pioneer in evidence-based medicine. He is known as one of the fathers of Evidence-Based Medicine. He founded the first department of clinical epidemiology in Canada at McMaster University, and the Oxford Centre for Evidence-Based Medicine. He is well known for his textbooks Clinical Epidemiology and Evidence-Based Medicine.
Michael D. Lockshin is an American professor and medical researcher. He is known for his work as a researcher of autoimmune diseases, with focus on antiphospholipid syndrome and lupus. He is Professor Emeritus of Medicine and the Director Emeritus of the Barbara Volcker Center for Women and Rheumatic Disease at Hospital for Special Surgery. He retired from HSS on January 31, 2023.
The Michael G. DeGroote School of Medicine, known as the McMaster University School of Medicine prior to 2004, is the medical school of McMaster University in Hamilton, Ontario, Canada. It is operated by the McMaster Faculty of Health Sciences. It is one of two medical programs in Canada, along with the University of Calgary, that operates on an accelerated 3-year MD program, instead of the traditional 4-year MD program.
Walter O. Spitzer (1937–2006) was a Canadian epidemiologist and professor of epidemiology and health at McGill University, a position he held from 1975 until his retirement in 1995.
Simin Liu is an American physician-scientist and epidemiologist. He is recognized internationally for his leadership in the research of nutrition, genetics, epidemiology, and the environmental and biological determinants of complex diseases, particularly those related to cardiometabolic health in diverse populations. His research has pioneered novel concepts, uncovered critical mechanisms and risk factors, and developed research frameworks for diabetes and cardiovascular diseases. A hallmark of Liu's work is when his lab was among the first to define and quantify dietary glycemic load in humans, providing key insights into the functional role of dietary carbohydrates in the development of health outcomes. This novel nutritional concept has since become a cornerstone of clinical diabetes management, nutritional epidemiology, and dietary feeding trials in diverse populations worldwide.
Walter Werner Holland was an epidemiologist and public health physician.
Nicola Dalbeth is a New Zealand academic rheumatologist whose research focuses on understanding the impact and mechanisms of gout. She supports clinical and laboratory research programmes and holds dual appointments as a full professor at the University of Auckland and as a consultant for the Auckland District Health Board.
Cara Tannenbaum is a Canadian researcher and practicing physician in the fields of geriatrics, women's health, and gender research. Since 2015, Tannenbaum has served as the Scientific Director of Canadian Institutes of Health Research's Institute of Gender and Health. She was appointed as a Member of the Order of Canada on November 17, 2021.
Rachelle Buchbinder is an Australian rheumatologist and clinical epidemiologist. Her clinical practice is in conjunction with research involving multidisciplinary projects relating to arthritis and musculoskeletal conditions. She promotes improvement of communication with patients and health literacy in the community.
Robert Brian Haynes OC is a Canadian physician, clinical epidemiologist, researcher and an academic. He is professor emeritus at McMaster University and one of the founders of evidence-based medicine.
Vivian Andrea Welch is a Canadian clinical epidemiology methodologist and population health researcher. She is an associate professor at the University of Ottawa's School of Epidemiology and Public Health and Editor in Chief of the Campbell Collaboration.
Nancy E. Lane is an American rheumatologist. She is an Endowed Professor of Medicine, Rheumatology, and Aging Research at the University of California, Davis and director of the UC Davis Musculoskeletal Diseases of Aging Research Group. She has also sat on the editorial boards of Nature Reviews Rheumatology, Rheumatology,Seminars in Arthritis and Rheumatism,Arthritis & Rheumatology, and The Journal of Rheumatology. Her work on aging and glucocorticoids in cell populations is internationally recognized.
Lindsey A. Criswell is an American rheumatologist and physician-scientist. She is director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Criswell was vice chancellor of research at University of California, San Francisco where she held the Jean S. Engleman Distinguished Professorship in Rheumatology.
Philip James Devereaux is a Canadian cardiologist, clinical epidemiologist, and perioperative care physician. Devereaux conducts clinical research within cardiac and perioperative fields, with a focus on vascular surgical complications.
Lynette (Lyn) March AM is an Australian rheumatologist and clinical epidemiologist. She is Liggins Professor of Rheumatology and Musculoskeletal Epidemiology in the Faculty of Medicine and Health at the University of Sydney, Australia.