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11th G-I-N Conference 20-23 August 2014 Melbourne Convention & Exhibition Centre Melbourne, Australia Creation and Innovation: Guidelines in the Digital Age Program Book www.gin2014.com.au A joint project between &
Table of Contents Welcome 3 Message from G-I-N 4 General Information 5 G-I-N 2014 Scientific Committee 6 G-I-N 2014 Conference Program 7 Poster Presentations 19 Plenary Speakers 22 G-I-N 2014 Scholarship and Grant Recipients 26 Social Program 26 Venue Map 28 Exhibition Floor Plan 29 Thank You to Our Sponsors 31 Sponsor and Exhibitor Profiles 32 G-I-N 2015 37 Notes 38 Conference Organiser ICMS Australasia G-I-N 2014 Conference Secretariat PO Box 5005 South Melbourne VIC 3205 Tel: +61 3 9682 0500 Fax: +61 3 9682 0344 Email: info@gin2014.com.au 2
Welcome Dear colleagues n behalf of the Board of Trustees of the Guidelines International Network (G-I-N), the local host O Therapeutic Guidelines Ltd, and the Scientific Committee, we are delighted to welcome you to Melbourne for G-I-N 2014, the 11th G-I-N Conference. It promises to be a stimulating international forum. The theme for G-I-N 2014 is “Creation and Innovation: Guidelines in the Digital Age”. Over the next three and a half days, conference participants will consider the critical role technology plays in developing and implementing leading-edge guidelines. High quality guidelines remain an essential tool for improving patient health and clinical care, and we congratulate the Scientific Committee on bringing together local and international experts to share their experiences in using technology platforms, guideline development tools and electronic integration systems to improve the efficiency and effectiveness of guidelines. G-I-N 2014 has been designed to provide you with ample opportunities, whether in plenaries, working group meetings, panel sessions or workshops, to explore and debate solutions to current guideline challenges. We encourage you to use the next few days to network, debate and share your knowledge and experience with other delegates, including many who have travelled from over 40 countries to make G-I-N 2014 a truly international collaboration. So, welcome to Melbourne! Thank you for being a part of G-I-N 2014. We hope you enjoy the conference and all that Melbourne and its surrounds have to offer. Dr Amir Qaseem Dr Sue Phillips Prof Paul Glasziou Chair, G-I-N Board of Co-President, G-I-N 2014 Chair, G-I-N 2014 Trustees Chief Executive Scientific Committee Co-President, G-I-N 2014 Officer, Therapeutic Guidelines Ltd 3
Message from G-I-N elcome to G-I-N 2014 in the spectacular city of Melbourne. Guidelines W International Network (G-I-N) has worked in partnership with Therapeutic Guidelines Ltd to present this year’s conference, with the topical theme of “Creation and Innovation: Guidelines in the Digital Age”. G-I-N is a network for stakeholders in the guideline development world, where our aim is to be the connector of people in our field, providing the best possible opportunities for engagement, collaboration and mutual learning and development, whether through webinars, targeted mentoring or taking part in a Working Group or Regional Community. At 30th June 2014, our rich network spanned 48 countries with 100 organisational members and 131 individual members. If you are new to G-I-N or even if it is your first time at our conference, please come to the GINtro session on Wednesday evening at 18:00, between the AGM and the Welcome Reception. Here you will have the opportunity to learn a bit about orientation at the conference, as well as meet some of the Working Group chairs. If you would like to learn more about how membership could benefit you, please approach one of our Membership Committee, Working Group chairs or G-I-N Board members, who will be wearing blue rosettes; drop by the G-I-N stand during a break or visit us online at: www.g-i-n.net New membership applications received during the conference will benefit from a one- off discount in membership fees for this year. I look forward to meeting you, Elaine Harrow G-I-N Executive Officer 4
General Information Accommodation Dietary Requirements Crown Metropol If you have advised the Conference Secretariat of special 8 Whiteman Street dietary requirements, please speak to a member of Southbank VIC 3006 catering staff at the commencement of each meal break / Ph: +61 3 9292 8888 social function. Crown Promenade 8 Whiteman Street Duplication / Recording Southbank VIC 3006 Unauthorised photography, audio taping, video recording, Ph: +61 3 9292 6688 digital taping or any other form of duplication is prohibited Hilton South Wharf in the conference sessions. 2 Convention Centre Place Melbourne VIC 3006 Emergency Details Ph: +61 3 9027 2000 In an emergency, telephone 000 for Ambulance, Fire Pensione Hotel Melbourne Service or Police. 16 Spencer Street Melbourne VIC 3000 Internet and WiFi Access Ph: +61 3 9621 3333 Free WiFi is available throughout the Melbourne Vibe Savoy Convention & Exhibition Centre. To access the WiFi, select 630 Little Collins St the “M Connect” network on your device, create an Melbourne VIC 3000 account to log in and then follow the prompts. Ph: +61 3 9622 8888 Oaks on Market Lanyards 60 Market Street Lanyards should be worn at all times during G-I-N 2014 for Melbourne VIC 3000 security purposes and to assist the organisers with Ph: +61 3 8631 1111 identifying participants. Conference Satchel Mobile phones and other electronic devices All G-I-N 2014 delegates will receive a conference satchel As a courtesy to speakers and your fellow delegates, including a printed Program Book and other sponsor please switch your mobile phones and other electronic inserts. devices to ‘silent’ during presentations and while in Sponsored by sessions. Abstract Book and Delegate List Registration Desk The Abstract Book and Delegate List are available for The registration desk is located in the Level 1 foyer of the download from the conference website: Melbourne Convention & Exhibition Centre and will be www.gin2014.com.au. open at the following times: Wednesday 20 August 8:00 am–6:00 pm Conference Venue Thursday 21 August 8:00 am–6:00 pm Melbourne Convention & Exhibition Centre (MCEC) 2 Clarendon Street Friday 22 August 8:00 am–5:30 pm Southbank VIC 3006 Saturday 23 August 9:00 am–1:30 pm Ph: +61 3 9235 8000 Smoking Smoking is not permitted indoors at Melbourne Convention & Exhibition Centre. Smokers must always remain at least 4 m from any doorway when smoking. Fines can be imposed for smoking in prohibited places. 5
G-I-N 2014 Scientific Committee Speakers’ Preparation Room Professor Paul Glasziou, G-I-N 2014 Scientific Committee Chair (AUSTRALIA) The speakers’ preparation room is located at Speakers Room 101, Level 1. All plenary and parallel session Professor Lubna Al-Ansary (SAUDI ARABIA) speakers must visit the speakers’ preparation room at Associate Professor Melissa Brouwers (CANADA) least two hours before their session start time to load Dr Heather Buchan (AUSTRALIA) their presentation. The speakers’ preparation room will be open at the following times: Professor Enrico Coiera (AUSTRALIA) Wednesday 20 August 7:00 am–5:00 pm Professor Leonila Dans (PHILIPPINES) Thursday 21 August 7:00 am–5:00 pm Professor Hernando Gaitán Duarte (COLOMBIA) Dr María Eugenia Esandi (ARGENTINA) Friday 22 August 7:00 am–5:00 pm Professor Sally Green (AUSTRALIA) Saturday 23 August 8:00 am–11:00 am Professor Ina Kopp (GERMANY) Dr Tamara Kredo (STH AFRICA) We invite you to join the G-I-N 2014 Twitter conversation @GINConference Professor Ilkka Kunnamo (FINLAND) Ms Catherine Marshall (NEW ZEALAND) Dr Sue Phillips (AUSTRALIA) Ms Elizabeth Shaw (UK) Professor Paul Shekelle (USA) For photos and bios of the Scientific Committee members, please see the conference website: www.gin2014.com.au. 6
G-I-N 2014 Conference Program Wednesday 20 August Abstracts for plenary and parallel sessions are included in the Abstract Book, which is available for download from the conference website: www.gin2014.com.au. Pre Conference Workshops 0830-1630 GRADE and Guideline Development Room 104 0830-1630 Information technology in the development, dissemination and implementation of guidelines Room 111 & 112 0900-1330 Translating research findings and evidence-based guidelines into clinical practice Room 103 0900-1630 Contextualising international guidelines: A practical approach in guideline construction Room 107 0900-1630 Adding to evidence – the role of clinical and lay members and health economics in developing clinical guidelines Room 108 1630-1800 AGM Room 103 *Registration starts from 1615 1800-1830 GINtro Room 103 1830-2000 Welcome Reception Level 1 Foyer 7
G-I-N 2014 Conference Program Thursday 21 August 0800-0830 Registration 0830-0900 Welcome Ceremony Room 109 & 110 0900-1030 Plenary 1: Guideline development: Where does technology begin and end? Room 109 & 110 Chairpersons: Dr Craig Robbins (G-I-N Board) and Professor Ilkka Kunnamo (Scientific Committee) Associate Professor Winfried Häuser, Technical University Munich, Germany - Internet portal for the development of clinical practice guidelines–benefits and limitations 1030-1100 MORNING TEA 1100-1230 Room 101 & 102 Room 103 Room 104 Parallel Session 1.2: Oral Parallel Session 1.3: Oral presentations presentations Chairperson: Cindy Farquhar Chairperson: Anna Gagliardi 1100-1115 Workshop Challenges in developing Identifying high priority topics for Systematic patient involvement in recommendations about medical management of frail and elderly clinical guideline development in tests: in-depth interviews with patients with chronic kidney disease the Dutch context: Applying guideline developers (CKD) - scoping an European guideline strategies for consultation among Miranda Langendam Ionut Nistor the patient population 1115-1130 Formulating Recommendations for WE WILL SHARE! Why would every Daniëlle Meije Medical Tests: Assessing Relevance hospital make its own clinical of Evidence and Clinical Significance practice guidelines? of Effect Sizes Integrated into Wiki- Espen Helvig based Guideline Development Laura Holliday 1130-1145 How do evidence based guidelines The Australian Asthma Handbook in Oncology address cancer Version 1.0: harnessing technology screening tests? to publish guidelines involving 100 Corinna Schaefer contributors, 500 recommendations and 50,000+ users Siobhan Brophy 1145-1200 Making recommendations about The challenges of providing medical tests: a tool for finding the guidance when evidence is clinical pathway incomplete: managing glycaemia in Miranda Langendam type 2 diabetes Georgina Kilroy 1200-1215 The use of Cochrane breast cancer Developing a series of clinical reviews by guideline developers and practice guidelines simultaneously Cochrane (public) users in a bi-national context Melina Willson Mark Oakley Browne 1215-1230 Guidance Development Project Using telephone triage protocols to (GDP): harmonising process and support nurse video triage methods across programmes Mary Byrne Sarah Cumbers 1230-1330 LUNCH 8
Dr Julian Elliott, Alfred Hospital, Australia - Living evidence Dr Fergus Macbeth, NICE, UK - From GOBSAT to GRADE: a twenty year stroll through the wonderland of guidelines MORNING TEA Room 109 Room 110 Room 111 & 112 Parallel Session 1.4: Oral presentations Parallel Session 1.5: Oral presentations Parallel Session 1.6: Oral presentations Chairperson: Davina Ghersi Chairperson: Leigh-Anne Claase Chairperson: Craig Whittington Rating the confidence we can place in Position statements: a method to Challenges in implementing GRADE. studies that evaluate the importance of expedite advice from Cochrane reviews Lessons learned in changing the outcomes of interest Stephanie Goodrick methodologies Holger Schünemann Moray Nairn How do systematic review users and Training physical therapist guideline Updated Acute Coronary Syndrome producers interpret the stability of developers Guidelines 2015 - Aspiring to new research findings based on GRADE Sandra Kaplan standards in guideline quality quality of evidence ratings? Ian Scott Kylie Thaler Standard wording for formulating Predictors of Success in the Guideline Implementing the AGREE II instrument to evidence conclusions and implications Development Process: The American an Australian ambulance service - a case for recommendations Academy of Neurology Experience study Emmy De Buck Thomas Getchius Scott Bennetts Systematic Reviews: How accurate are Digital guidelines: a flexible user-friendly Antibiotic guidelines version 15: from they, and how can we do better? online format that facilitates interactive little things big things grow Gerald Borok external consultation during the Melanie Rosella guideline development phase Katrina Anderson What are clinical practice guidelines? A Adapting a large point-of-care information Stimulate effective and eliminate typology analysis within the context of a database of evidence-based clinical ineffective healthcare new taxonomy of scientific knowledge guidelines and decision support scripts: Dieuwke Leereveld Sue Lukersmith a process description and evaluation Stijn Van De Velde Database of Evidence Profiles (DBEP) - Updating clinical guidelines in the digital When Guidelines Carry the Force of challenges and solutions for sharing of age Public Policy summaries of evidence for decision making Carol Norquay David Birnbaum . Jan Brozek LUNCH continued next page 9
Thursday 21 August (cont.) 1300-1400 Kaiser Permanente Sponsored Workshop Making the Right Thing Easy to Do: Optimizing people, process, and technology in the development and implementation of evidence-based guidelines at KP Room 101 & 102 Working Group Meetings/Networking/Posters 1245-1330 Working Group Meeting: G-I-N Nordic regional community Room 107 1330--1430 Working Group Meeting: Implementation Room 111 & 112 1330--1430 Working Group Meeting: Performance Measures Room 107 1330--1430 Working Group Meeting: Adaptation Room 103 1330--1430 Working Group Meeting: AID Knowledge Room 104 1330--1430 G-I-N 2015 Scientific Committee Meeting Room 108 1430-1600 Plenary 2: Guideline implementation: Is technology the magic fix? Room 109 & 110 Chairpersons: Ms Sue Huckson (G-I-N Board) and Dr Heather Buchan (Scientific Committee) Associate Professor Per Vandvik, University of Oslo, Norway - The role of technology in creating, disseminating and updating trustworthy guidelines 1600-1630 AFTERNOON TEA 1630-1800 Room 101 & 102 Room 103 Room 104 Parallel Session 2.2: Oral Parallel Session 2.3: Oral presentations presentations Chairperson: Sally Green Chairperson: Annette Kristiansen 1630-1645 Workshop The Dental Health Services Victoria Strengthen engagement and Collaborative development of (DHSV) clinical guidelines pilot implementation using multiple guidelines and systematic reviews study: measuring adherence to technologies with Guideline Development Tool clinical practice guidelines (CPG) Brent Knack (GDT) Richard Clark . Jan Brozek 1645-1700 Type 2 diabetes care in Australia: Improving guideline uptake by Snap shot of guidelines adoption integrating an effective online Nancy Huang education tool Jutta Von Dincklage 1700-1715 General Practitioners knowledge of Will a mobile application improve whiplash guidelines improved with the implementation of clinical online education practice guidelines? Trudy Rebbeck Deborah S Cummins 1715-1730 Effectiveness of peer-assessment Identifying domains for behavioural for implementing a Dutch physical change and harnessing technology therapy low back pain guideline: a to implement vancomycin clinical cluster randomized, controlled trial practice guidelines in a South Philip Van Der Wees Australian tertiary hospital Cameron Phillips 1730-1745 The impact of evidence-based GAME-IT: Explore peoples choices clinical practice guidelines on and facilitate teaching by turning physiotherapy practice for low back Guideline-making into a game. A pain MAGIC project Susanne Bernhardsson Linn Brandt 1745-1800 Does a tailored implementation strategy aimed at improving guideline adherence in occupational physicians improve patient outcomes? Evelien Brouwers 10
Professor Rod Jackson, University of Auckland, New Zealand - PREDICT: getting evidence in and out of practice Dr Denise O'Connor, Monash University, Australia - Theory-informed approaches to designing and evaluating implementation interventions AFTERNOON TEA Room 109 Room 110 Room 111 & 112 Parallel Session 2.4: Oral presentations Parallel Session 2.5: Oral presentations Parallel Session 2.6: Oral presentations Chairperson: Duncan Service Chairperson: Ian Scott Chairperson: Jako Burgers Characterizing the desirable The Veterans' Medicines Advice and Which barriers do nurses perceive to characteristics of guideline Therapeutics Education Services implementing protocol-based care? implementation tools (MATES) program: bridging the evidence A systematic review Anna Gagliardi practice gap to improve medicine use Margot Joosen and health outcomes for veterans Elizabeth Roughead The DECIDE evidence to Guideline Evaluation with the Aid of a Process mapping to identify barriers and recommendation framework - adapted to Population Based Registry facilitators for the international translation the public health field in Sweden Kees Ebben of the Australian PCOS lifestyle Nils Stenstrom management guideline recommendations Henry Ko Collaboration, technology and innovation CORE Adult patient database provide Diabetes prevention in high-risk women: in stroke guideline implementation: an useful tool to monitor VTE prevention many guidelines do not make light work Australian example guidelines sustainability among Sharleen O'Reilly Kelvin Hill Australian ICUs Shaila Chavan An Online Continuing Education Module Knowledge Mobilization: Application of Barriers to incorporating clinical practice to Support Evidence-based Clinical Implementation Science and best guidelines in medical education: the Guidelines practice guidelines to the diagnosis of junior doctors perspective Craig Robbins Autism Spectrum Disorder Logan Manikam Cyndie Koning Presenting evidence-based clinical Implementing guidelines: A guideline Implementation of a tailored strategy to guidelines to general practitioners in The developer's experience improve guideline adherence targeting Netherlands Anne Nelson perceived barriers in occupational Jolanda Wittenberg physicians Margot Joosen Developing guideline-based performance A Collaborative Approach to Guideline Developing a framework to structure, measures for UK primary care: a multi- Development and Implementation: NPS select and reduce the measurement stage consensus process MedicineWise and Therapeutic instruments for daily practice in physical Tim Stokes Guidelines therapy Robyn Lindner & Rob Moulds Guus Meerhoff 11
G-I-N 2014 Conference Program Friday 22 August 0700-0800 Working Group Meeting: G-I-N Australia and New Zealand regional community Room 103 0800-0830 Registration 0830-1000 Plenary 3: Guidelines in developing countries: Challenges and solutions Room 109 & 110 Chairpersons: Mrs Sonja Kersten (G-I-N Board) and Ms Catherine Marshall (Scientific Committee) Dr Emmy De Buck, Belgian Red Cross-Flanders, Belgium & Mr Brian Bilal, Red Cross Society, Uganda - Implementation of evidence-based African First Aid Materials in Sub-Saharan Africa: a view from the field Dr Maria Silvestre, Kalusugan ng Mag-Ina, Inc [Health of the Mother and Child], Philippines - Scale-up Implementation of Essential Intrapartum and Newborn Care (EINC) Guidelines: Challenges and Solutions, the Philippine Experience 1000-1030 MORNING TEA 1030-1200 Room 101 & 102 Room 103 Parallel Session 3.2: Oral presentations Chairperson: Rob Moulds 1030-1045 Workshop Harmonising health, public health and social care How to develop and publish a trustworthy guideline development methods for economics recommendation through the MAGIC authoring and Bhashkaran Naidoo publication platform Per Vandvik 1045-1100 Budget Impact Analyses in Clinical Guideline Development: Results from the Netherlands Pieter Broos 1100-1115 Putting dollars to treatments varying from guidelines for Malaria Treatment in Cameroon: An Economic Evaluation Ndong Ignatius Cheng 1115-1130 Cost-effectiveness decision-making in social care guidelines Tony Smith 1130-1145 Implementation Strategies for Genetic Coverage Guidelines Within Amil Assistência Médica Internacional, a Brazilian Privative Health Plan (BPHP) Maria Elisa Cabanelas Pazos 1145-1200 1200-1300 LUNCH 12
Dr Krisantha Weerasuriya, WHO (retired 2014), Sri Lanka - Guidelines in Middle And Low Income Countries - Existing Challenges And Potential Solutions (The first step was 35 years ago and the next one is due) Presentation of poster prize MORNING TEA Room 104 Room 109 Room 110 Parallel Session 3.3: Oral presentations Parallel Session 3.4: Oral presentations Parallel Session 3.5: Oral presentations Chairperson: Krisantha Weerasuriya Chairperson: Leonila Dans Chairperson: Lubna Al-Ansary The system development of quality Analyzing the source of evidence from Rapid adaptation of Clinical Practice management for Clinical Practice Chinese Clinical Practice Guidelines guidelines: learned lessons under the Guidelines in Korea based on Traditional Chinese Medicine developer team perspective, a qualitative MooKyung Oh interventions approach Liang Yao Fredy Orlando Mendivelso Duarte Hepatitis C virus: introduction of best Revision and Validation of Tools for Adapting clinical guidelines in low practice in Ukraine Classification of Study Designs in Korea resource countries: a study on guideline Olena Lishchyshyna Sooyoung Kim on the management and prevention of type 2 diabetes mellitus in Indonesia Indah Widyahening A new approach to CPG adaptation in Guideline development support tool and GRADE/DECIDE Evidence-to-Decision Saudi Arabia: Adaptation of practice educational workshops for clinical framework to facilitate adaptation of guidelines to a country-specific context practice guideline developers in Japan practice guidelines: A case study using the GRADE/DECIDE evidence to Masahiro Yoshida Reem Mustafa decision framework Zulfa Al Rayess & Wojtek Wiercioch Implementability issues in 23 Clinical Clinical practice guidelines in Peru: The Adaptation of Clinical Practice practice guidelines in Colombia Quality assessment using the Agree II Guidelines (CPG) through a short Angela Viviana Pérez Gómez instrument strategy. An experience in Colombia Carlos Canelo-Aybar Hernando Gaitán Duarte Pre-requisites for guideline Brazilian Implantable Cardioverter- implementation: reflections from India Defibrillator (ICD) Protocol Shilpa Karvande Marisa Santos Development of evidence-based medical care for patients with depression in Ukraine Yevgeniya Melnyk LUNCH continued next page 13
Friday 22 August (cont.) 1230-1330 EBSCO Health DynaMed Sponsored Workshop DynaMed: supporting guideline development and dissemination Room 103 Working Group Meetings/Networking/Posters 1215-1300 Working Group Meeting: G-I-N North America regional community Room 104 1300--1400 Working Group Meeting: Multimorbidity Room 101 & 102 1300--1400 Working Group Meeting: Allied Health Room 107 1300--1400 Working Group Meeting: Accelerated Guideline Development Room 111 & 112 1300--1400 Working Group Meeting: G-I-N Arab World regional community Room 104 1300--1400 Working Group Meeting: Evidence Tables Room 108 1400-1530 Plenary 4: Panel debate – Use Twitter @GINconference #GINdebate to join the debate Room 109 & 110 Chairperson: Dr Sue Phillips (G-I-N Board and Scientific Committee) Panel 1: Are guidelines old technology? Moderator: Professor Ina Kopp, Association Of The Scientific Medical Societies In Germany, Germany Panellists: Professor Sally Green, Australasian Cochrane Centre, Australia, Dr Fergus Macbeth, NICE, UK, Professor Ian Olver AM, Cancer Council Australia, Australia, Professor Holger Schünemann, McMaster University, Canada and Dr Krisantha Weerasuriya, WHO (retired 2014), Sri Lanka 1530-1600 AFTERNOON TEA 1600-1730 Room 101 & 102 Room 103 Parallel Session 4.2: Oral presentations Chairperson: Corinna Schaefer 1600-1615 Panel Session Have new conflict of interest policies made a Incorporating evidence-based deprescribing difference to guidelines? recommendations into clinical practice guidelines Geraint Duggan Ian Scott 1615-1630 Disclosure situation of funding source and conflict of interest in clinical practice guidelines developed in Japan Akiko Okumura 1630-1645 Managing conflicts of interest in the UK National Institute for Health and Care Excellence (NICE) Clinical Guidelines Programme: qualitative study Tim Stokes 1645-1700 Conflicts of interest in the production of clinical guidelines: update from Therapeutic Guidelines Melanie Rosella 1700-1715 Risk Of Bias Assessment Tool For Non-Randomized Studies (RoBANS): Revision And Validation Jinkyung Park 1715-1730 Utility of Clinical Practice Guidelines in recommending health technologies to be considered for the health system and for regulatory agencies Angela Viviana Pérez Gómez 14
Panel 2: Overdiagnosis and the role of guidelines Moderator: Professor Paul Glasziou, Bond University, Australia Panellists: Professor Lubna Al-Ansary, King Saud University, Saudi Arabia, Associate Professor Cynthia Boyd, Johns Hopkins University, USA, Professor Leonila Dans, University of the Philippines, Philippines, Professor Allen Frances, Duke University, USA, Professor Rod Jackson, University of Auckland, New Zealand AFTERNOON TEA Room 104 Room 109 Room 110 Parallel Session 4.3: Oral presentations Parallel Session 4.4: Oral presentations Parallel Session 4.5: Oral presentations Chairperson: Ian Olver AM Chairperson: Julian Elliott Chairperson: Joan Vlayen Using computerized decision support Technology to assist with guideline Do clinicians want recommendations? A systems (CDSSs) in primary care: development: software for systematic randomized trial comparing evidence perceived barriers and suggestions to reviews summaries with and without improve their implementation Skye Newton recommendations Marjolein Lugtenberg Holger Schünemann PLUGGED-IN (Providing Likeable and Using Technology to Increase the Health System Guidelines Appraisal Tool - Understandable Guidelines using GRADE Reliability of Systematic Reviews Better Guidelines for Better Health in the EMR with Direct links to INdividual Gerald Borok Systems patient data) phase 3 Denis Ako-Arrey Linn Brandt The National Guidelines of the highlighted Quickly developed guidelines (QDG) on Education Program Experience for the breast cancer recommendations delivered contraception: a French experiment Appraisers of Guidelines using AGREE II in a structured way to help developing Sophie Blanchard Scoring Guide in Korea decisions support Ein-Soon Shin Lotti Barlow TRUST-IT - Can we trust the advice given What is needed to realize a dynamic The Guideline Development Checklist in clinical decision support systems process of guideline updating (GDC) Linn Brandt Kristie Venhorst Holger Schünemann Guidelines, technology and data - coming 5-step adaptation process for Evaluating a guideline program with the together to drive change in general practice trustworthy guidelines Guideline Development Checklist (GDC) Nancy Huang Annette Kristiansen Ton Kuijpers Harder, better, faster, stronger*: Can recommendations be updated Assessing quality components of clinical amplification of development, without an evidence review? practice guidelines implementation and evaluation of clinical Khalid Ashfaq Jodie Clydesdale practice guidelines Sonja Kersten 15
G-I-N 2014 Conference Program Saturday 23 August 0900-0930 Registration 0930-1100 Room 101 & 102 Room 103 Parallel Session 5.2: Oral presentations Chairperson: Hernando Gaitán Duarte 0930-0945 Workshop From the quality library, through the Assessment Producing and Using Generic Decision Aids Linked to Framework, in the Register: a complete online process Guideline Recommendations to Enhance Shared- Ferry Nagel Decision Making in Clinical Consultations Per Vandvik 0945-1000 Technology for large-scale translation of guidelines: an evaluation of the performance of a hybrid human and computer-assisted approach Stijn Van De Velde 1000-1015 Guidelines, Recommendations, Adaptations Including Disability: A novel approach to obesity prevention for individuals with disabilities Kerri Vanderbom 1015-1030 Development of a reporting checklist for updated guidelines Denis Ako-Arrey 1030-1045 External review in the process of clinical practice guidelines in Japan Yosuke Hatakeyama 1045-1100 The incorporation of stakeholder considerations in guideline development Kristie Venhorst 1100-1130 MORNING TEA 1130-1300 Plenary 5: Guidelines in practice: Making recommendations for patients, not conditions Room 109 & 110 Chairpersons: Dr Amir Qaseem (G-I-N Board Chair) and Professor Paul Glasziou (Scientific Committee Chair) Associate Professor Cynthia Boyd, Johns Hopkins University, USA - Informing Patient-Centered Care of People with Multiple Chronic Conditions: Addressing Co-existing Conditions in Guideline Development 1300-1330 Closing and G-I-N 2015 presentation Room 109 & 110 16
Room 104 Room 109 Room 110 Parallel Session 5.3: Oral presentations Parallel Session 5.4: Oral presentations Parallel Session 5.5: Oral presentations Chairperson: Kelvin Hill Chairperson: Jenny Doust Chairperson: Jorma Komulainen Lessons learned from patient Can evidence based appropriateness How many terms are used to describe involvement in developing a clinical guidelines determine if complex practice guidelines? guideline on chronic fatigue syndrome polypharmacy patients are suitable for Yaolong Chen Hans De Beer deprescribing of Proton Pump Inhibitors? Emily Reeve How to develop patient versions of Comorbidity forces physiotherapists to Using relevant primary care evidence in guidelines: updating the GIN PUBLIC deviate from guideline recommendations clinical guidelines: mixed methods study Toolkit resulting in various treatments for the Tim Stokes Shaun Treweek same patient: a Vignette study Sarah Dörenkamp Communicating clinical practice On automated execution of clinical Are clinical guidelines a type of applied guidelines to patients and the public: An practice guidelines for patients with scientific framing study? An analysis of analysis of patient versions of clinical comorbidity the interaction between guideline practice guidelines (CPGs) Yuanlin Zhang recommendations and using different Nancy Santesso sources of knowledge in clinical reasoning Sue Lukersmith Listening not shouting: designing N of one guidelines - further steps to Implementation of guideline versions of guidelines for the public that manage multimorbidity recommendations using online patient take account of what people want Martin Scherer portals in electronic health records: a Shaun Treweek prospective cohort study Philip Van Der Wees Patient Decision Aids linked to Accounting for multimorbidity in Rehabilitation and functional capacity in Guidelines: an Approach to Preference economic models: implications for Clinical Practice Guidelines. A Collaboration sensitive Decisions clinical guidelines of the G-I-N Nordic Regional Community Corinna Schaefer Moray Nairn Piia Vuorela Developing national guidelines for Determining Minimal Important service delivery Differences (MIDs) for Clinical Bhashkaran Naidoo Effectiveness in Practice Guidelines Judith Thornton MORNING TEA Dr Rae Thomas, Bond University, Australia & Mr Ross Smith, Bond University, Australia - Community consent for screening using community juries Professor Allen Frances, Duke University, USA - Don't Have Foxes Guarding Henhouses 17
Poster Presentations P osters will be on display in Rooms 105 and 106, Level 1 at the Melbourne Convention & Exhibition Centre from Thursday 21 August to Saturday 23 August 2014. The poster prize will be announced on Friday 22 August following the morning plenary session in the plenary room (Room 109 & 110). Poster presenters will be standing by their posters to answer questions at the following times: • Posters with odd numbers: Thursday 21 August 10:30 to 11:00 am and Friday 22 August 10:00 to 10:30 am • Posters with even numbers: Thursday 21 August 4:00 to 4:30 pm and Friday 22 August 3:30 to 4:00 pm Abstracts for poster presentations are included in the Abstract Book, which is available for download from the conference website: www.gin2014.com.au. Please note: if a poster number is missing, it has been withdrawn. P01 P11 How many journals adopt reporting guidance for RCTs, Does public consultation improve the quality of clinical Systematic reviews and Clinical practice guidelines in practice guidelines? Instructions for Authors: a cross section survey from 150 Stephanie Goodrick medical journals P13 Liang Yao Building Brazilian Network for Guidelines P02 Marisa Santos Low scores on AMSTAR may lead to unreliable quality of P14 evidence Key points of MINDS handbook for clinical practice Yaolong Chen guidelines development 2014 in Japan: indirectness, P03 patients’ values and preferences, and resource use Influential factors of treatment outcome in patients with Masahiro Yoshida Intermittent Claudication: Patient characteristics and P15 comorbidity Development of Teaching & Learning Materials for COPD Sarah Dörenkamp in Korea P04 Kyunghee Cho Korea’s National Health Screening Program Guideline P16 evaluation process How to Produce Quickly Developed Guidelines (QDG)? Eun Young Kim Sophie Blanchard P05 P17 How should we resolve local problems in the guidelines The emergence and development of GRADE for cancer screening programs? Evaluation of centers/networks around the world mammographic screening with and without physical Yaolong Chen examination Chisato Hamashima P18 Guidelines to tackle the feeling of loneliness and social P06 isolation in elderly: an evidence-based approach by Would acute kidney injury definitional concordance across Belgian Red Cross-Flanders generalist & specialist health professional groups improve Emmy De Buck patient outcomes? Noella Sheerin P19 Reporting Items for Practice Guidelines in Healthcare P07 (RIGHT) Creation and Innovation a guidelines from nursing Yaolong Chen information system-a big data of nursing care plan Bi-Lian Chen P20 Actions developed for the elaboration and revision of P09 guidelines in Brazilian Public Health System Implementing multilayered guideline presentation formats Ana Claudia Sayeg Freire Murahovschi in a new generation of trustworthy clinical practice guidelines Annette Kristiansen 19
Poster Presentations P21 P31 Guideline Development Portal Clinical Practice Guideline Plain Language Summaries help Leona Klemm to Empower Patients Gene Cunningham P22 Perceptions on developing clinical practice guidelines for P32 traditional medicine in Korea: Results of a web-based Evaluation of developing and updating the Patient Blood survey Management Guidelines Jiae Choi Leia Earnshaw P23 P33 Guidance Development Project – towards structured The use of evidence in medical care of patients with content sarcoidosis in Ukraine Sarah Cumbers Olena Lishchyshyna P24 P34 Simplify and improve: creating the new Dutch guideline Effective Procedure in Reviewing of Standard Treatment colorectal cancer Guidelines Eefje Verhoof Jeremaia Mataika P25 P35 Consultation on scope determination in the development Developing expert consensus guideline using the Delphi of a key cardiac care guideline Methodology Maree Branagan Mark Oakley Browne P26 P36 Virtual groups: Reaching your audience Sharing expertise and information: initiatives to support Brent Knack guideline developers in the developing world Carol Norquay P27 Norwegian clinical practice guidelines with a sensitive P37 topic – most read in 2013 Methodology of review of externally produced guidelines Nina M Kyno using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument P28 Mark Oakley Browne What influences the size of a review question? Khalid Ashfaq P38 The Quality Evaluation of Clinical Practice Guidelines from P29 2012 to 2013 in China Reference Rodeo Liang Yao Gene Cunningham P39 P30 A content analysis of evidence-based clinical practice A national guideline for diagnosis and treatment of acute guidelines in Japan: A recent movement ankle sprain Hiromichi Suzuki Joan Vlayen P40 Appraisal of maternity management and family planning guidelines using AGREE-II instrument in India Devendra Sonawane P41 Evaluation of Implementation of guidelines concerning quality of French Microbiology Laboratories Practices about Antimicrobial Resistance Alain Durocher P42 Influencing factors of fall prevention best practice in geriatric hospitals in Korea Sun Kyung Kim 20
P43 P56 Best clinical practices checklists to implement guidelines: Barriers to inclusion of new treatments to clinical the problems? protocols Alain Durocher Olena Lishchyshyna P44 P58 Effects of evidence based fall prevention and Implementation of the best practice for cancer screening management program in geriatic hospital in Ukraine Sun Kyung Kim Olena Lishchyshyna P46 P59 Knowledge and adherence to evidence based practice CAN Implement – facilitating international evidence-based guidelines for hemodialysis among nurses in dialysis units guideline adaptation through a software environment Sun Kyung Kim Craig Lockwood P47 P60 Development of a national strategy for guidelines Development and proposed implementation of a guideline- dissemination based clinical pathway of care to improve health Joan Vlayen outcomes following whiplash injury Trudy Rebbeck P48 Evaluation of a tailored, multi-component guideline P61 implementation intervention in Swedish primary care The developement of primary health care monitoring physiotherapy: a prospective controlled trial system in Ukraine. First steps Susanne Bernhardsson Olena Lishchyshyna P49 P62 Can indicators with target levels and a National Clinical management of cranio-vertebral instability after assessment and evaluation increase adherence of whiplash, when should guidelines be adapted? A case National Guidelines in cancer care? report Lotti Barlow Trudy Rebbeck P50 P63 Duodecim Current Care evidence evaluated and updated Who is seeking NHMRC approval of clinical practice to EBMeDS clinical decision support service guidelines? Tuula Meinander Catherine King P51 P64 Activity and reporting characteristics of clinical practice Do Australian clinical practice guidelines address guideline implementation trials registered on the ANZCTR. Australian health priorities? Henry Ko Geraint Duggan P52 P65 Adaptation and implementation of clinical guidelines Using current practice information to prioritise areas for ‘Pneumothorax’ in the Republic of Kazakhstan guideline development Kulsara Rustemova Sarah Cumbers P53 P66 Guidelines in an Era of Universal Health Coverage: An Correlation between Clinical Practice Guidelines and the Economic Evaluation main causes of morbidity and mortality in Mexico Okwen Patrick Mbah Jesus Ojino Sosa Garcia P54 P67 Health care quality indicators. First steps on the Clinical Guidelines in Brazilian Public Health System: a implementation of the new performance measurement balance of the last five years tools in Ukraine Carla De Agostino Biella Olena Lishchyshyna 21
Plenary Speakers Professor Lubna Al-Ansary Center on Aging and Health. Dr. Boyd holds a joint appointment in the Department of Health Policy and Lubna A. Al-Ansary (MBBS, MSc, MRCGP, Management. Dr. Boyd holds degrees from Yale University FRCGP) is a Professor of Family Medicine at (B.S.), Duke University School of Medicine (M.D.), and an the College of Medicine, a part-time M.P.H. in Epidemiology from the University of North Carolina Consultant Family Physician at the Primary at Chapel Hill. Dr. Boyd completed her internal medicine Care Centre and the head of the Clinical residency and geriatrics fellowship at Johns Hopkins Practice Guidelines Committee at King Hospital and the Johns Hopkins Bayview Medical Center. Dr. Saud University, the oldest and largest university in the Boyd conducts research on improving health and health care Kingdom of Saudi Arabia (KSA). Her efforts in promoting of people with multiple chronic conditions, or multimorbidity, evidence-based health care in KSA and the Gulf Countries including how to inform patient-centered care for this since the late 1990s, allowed her to hold the Bahamdan population through evidence syntheses and clinical practice Research Chair for evidence-based health care and guidelines. Dr. Boyd received the American Geriatrics knowledge translation at KSU, which focuses on evidence- Society’s Award for Outstanding Clinical Investigation in generation and implementation. Lubna has always been a 2010 for her body of work on multimorbidity. strong believer of the mission and objectives of G-I-N. She has been a co-opted Board Trustee for 2012/3 and an elected member thereafter. In Jan 2013, Lubna has Professor Leonila Dans become a member of the Consultative Council, which is Leonila F. Dans MD MS is professor at the the ‘Appointed Parliament’ in KSA as one of the first University of the Philippines, Department of women MPs ever. She was selected to represent women Pediatrics and Department of Clinical MPs at the Inter-parliamentary Union. Epidemiology. She is the pioneer in Pediatric Rheumatology in the Philippines. She Mr Brian Bilal started the fellowship program in Pediatric Rheumatology at the Philippine General Hospital. She also Brian Bilal is the programme manager for received her Master degree in clinical epidemiology in first aid in the Uganda Red Cross Society. 1991 at McMaster University in Ontario, Canada. She has Together with his line staff of the done research work within the field of Pediatrics and emergence health directorate, he supports Rheumatology. She has been a Cochrane Reviewer since planning, implementation, monitoring and 2000. She has been involved in introducing Evidence- evaluation of the first aid programme in based Medicine and Evidence-based Clinical Practice Uganda focusing on branches of Mbarara, Kabale, Guidelines in the Philippines and in the Asia-Pacific region. Bushenyi, Ntungamo, Masaka, Kampala, Mukono, She is a Member Emeritus of the American College of Luweero, Gulu and Kasese supported by the Belgium Red Rheumatology, member of the International Clinical Cross-Flanders. His work involves planning and advocacy Epidemiology Network, and Advisory Editorial Board at head quarter level, interacting with other programmers member of Journal of Clinical Epidemiology. She is from other directorates, stakeholders both the public and presently a member of the WHO Expert Advisory Panel on private, and supporting first aid trainings at the local Clinical Practice Guidelines and Research Methods and communities in schools, community women groups, and Ethics and WHO Guidelines Review Committee. She has even in churches. His main work centres at ensuring that authored several journal articles and book chapters, with the mentioned branches (and other branches in the whole special interest on issues of applicability and equity. Her country) have enough capacity in terms of trainers, most recent publication is a user-friendly simplified book volunteers, training equipment, knowledge and skills to entitled “Painless Evidence-Based Medicine” targeted for give correct, quality first aid in the field and trainings EBM practitioners. using evidence based AFAM approach. Dr Emmy De Buck Associate Professor Cynthia Boyd Dr Emmy De Buck obtained her Master Dr. Cynthia Boyd is an Associate degree in Applied Sciences and a PhD in Professor of Medicine at the Medical Sciences at the Catholic University Johns Hopkins University School of Leuven, Belgium. In 2009 she started of Medicine in the Division of her career at the Belgian Red Cross- Geriatric Medicine and Flanders where she was co-founder of the Gerontology, and is a core faculty Centre for Evidence-Based Practice (CEBaP), which gives member at the Johns Hopkins scientific support to diverse activities of the Red Cross, from blood supply to emergency aid. She is currently head of CEBaP where she is responsible for developing evidence-based guidelines (both national and international) 22
and systematic reviews, all published in peer-reviewed He is the author of seven books related to evidence based journals. She was selected as a representative for Europe practice: Systematic Reviews in Health Care, Decision to take part in the development of the ILCOR (International Making in Health Care and Medicine: integrating evidence Liaison Committee on Resuscitation) evidence-based and values, An Evidence-Based Medicine Workbook, international first aid guidelines for 2015. Clinical Thinking: Evidence, Communication and Decision- making, Evidence-Based Medicine: How to Practice and Dr Julian Elliott Teach EBM, and Evidence-Based Medical Monitoring: Principles and Practice. He is the recipient of an NHRMC Dr Julian Elliott is Head of Clinical Research Australia Fellowship, which he commenced at Bond in the Department of Infectious Diseases, University in July, 2010, and a member of the Board of Alfred Hospital and Monash University and Directors of Therapeutic Guidelines. Senior Research Fellow at the Australasian Cochrane Centre. Dr Elliott’s research is Professor Sally Green focussed on the use of emerging technologies to improve health outcomes, particularly for Sally Green is Co-Director of the people with HIV and other chronic diseases. He has led Australasian Cochrane Centre and a the development of Covidence, a non-profit online platform Professorial Fellow in the Faculty of to improve the efficiency and experience of systematic Medicine, Nursing and Health Sciences at review production. This work is part of an ongoing program Monash University. She holds a PhD in to enable high quality, up-to-date health evidence, Epidemiology and Preventive Medicine from encapsulated in the living systematic review framework. Dr Monash University in addition to her clinical qualifications Elliott also leads HealthMap, a cluster randomised trial of in Physiotherapy. Sally is an active Cochrane reviewer and technology-enabled self-management for people with HIV, has several competitively funded research projects which and chairs the Australian HIV guidelines panel. He aim to improve health outcomes by investigating the most previously worked for the Cambodian government’s HIV effective and efficient pathway of knowledge from program and served as a consultant to WHO, UNAIDS and research result to sustained change in clinical practice the World Bank. and policy. She is a past member of the Cochrane Collaboration Steering Committee. Professor Allen Frances Associate Professor Winfried Häuser Allen Frances MD is Professor Emeritus of Psychiatry and former Chair at Duke Winfried Häuser is a specialist in general University. He was chair of the DSM IV Task internal medicine, psychosomatic medicine Force and is the author of ‘Saving Normal’ and pain medicine. He is associate and ‘Essentials Of Psychiatric Diagnosis’. professor of psychosomatic medicine, He blogs regularly on Huffington Post, Technical University Munich. He is currently Psychiatric Times, Psychology Today, and Education working as senior physician in the Update and also tweets @AllenFrancesMD. department internal medicine 1 (gastroenterology, hepatology, endocrinology, infectiology, oncology) and as Professor Paul Glasziou consultant in psychosomatic medicine and pain medicine in the ambulatory health care center, Saarbrücken St. Paul Glasziou FRACGP, PhD is Professor of Johann. His research activities are fibromyalgia, Evidence-Based Medicine at Bond University psychosomatic aspects of bowel diseases (inflammatory and a part-time General Practitioner. He was bowel disease, celiac disease) and epidemiology and the Director of the Centre for Evidence- health care services research of chronic pain. He is a Based Medicine in Oxford from 2003-2010. member of the Cochrane musculoskeletal Group. He is His key interests include identifying and the head of the steering committee of the German removing the barriers to using high quality research in guideline on fibromyalgia and long-term opioid therapy in everyday clinical practice. Professor Glasziou has authored chronic non-cancer pain, member of the steering over 200 peer-reviewed journal articles – with a total of committees of the European guideline on fibromyalgia and over 18,000 citations. His h-index is currently 57; 18 of of the German guideline on functional these publications having been cited over 100 times. These syndromes/somatoform disorders and member of the research articles have appeared in key general medicine German guideline groups on celiac disease, Crohn’s journals such as the BMJ (30), Lancet (8), JAMA (5), NEJM disease, diverticular disease, irritable bowel syndrome (3), Annals of Internal Medicine (3), PLOS Medicine (4) and and ulcerative colitis. the MJA (15), as well as a variety of specialist medical and methodological journals. 23
Plenary Speakers Professor Rod Jackson been Coordinating Editor of the Cochrane Lung Cancer Review Group for 5 years and is currently Associate Rod Jackson is a professor of epidemiology Director of the Wales Cancer Trials Unit, Cardiff and at the University of Auckland. He is Honorary Professor at Cardiff University. He also teaches medically trained, has a PhD in for the UK Cochrane Centre and the Collaboration for epidemiology and is a member of the NZ Evidence Based Healthcare in Africa. College of Public Health Medicine. He teaches clinical and public health epidemiology to undergraduate and postgraduate students Dr Denise O’Connor and to health professionals. He has over 30 years of Denise O’Connor is Senior Research Fellow research experience in CVD epidemiology. He is one of the and Australian National Health and Medical architects of New Zealand risk-based clinical guidelines for Research Council Public Health Fellow in managing CVD risk. For the past 15 years his research the School of Public Health and Preventive has been based around using web-based decision support Medicine at Monash University. Denise’s tools linked to regional and national electronic health research focuses on the design, delivery databases to implement, monitor and improve CVD risk and impact of health professional behaviour change assessment and management. interventions to translate knowledge from research into clinical practice. Her expertise is in assessing the causes Professor Ina Kopp of implementation problems and designing theory- informed interventions to support professional practice Ina B. Kopp is Director of the German change. She has contributed to the design of several Association of the Scientific Medical cluster randomised trials to evaluate the effects of Societies Institute of Medical Knowledge- implementation interventions in primary care and hospital Management (AWMF-IMWi). AWMF-IMWi settings. She is editor with Cochrane Effective Care and coordinates and supports the development Organisation of Care (EPOC) Group and Implementation of Clinical Practice Guidelines by the 168 Science, and Co-Directs the Australian Satellite of specialty societies organised under the umbrella of AWMF. Cochrane EPOC. Dr Kopp is involved in several quality initiatives in Germany including the National Programme for Disease Management Guidelines, the Programme for Guidelines in Professor Ian Olver AM Oncology and the National Project for Cross-Sectoral Ian Olver is a medical oncologist and Quality in Health Care. She trained in general surgery bioethicist and currently a Clinical Professor (1995-2000) and internal medicine (2001-2002), received at the University of Sydney and CEO, her MD and her professorship from the University of Cancer Council Australia. In that role he Marburg, did research work in the field of health services has responsibility for producing cancer research and quality improvement and authored/co- treatment guidelines and has developed a authored more than 150 publications. She is a member of wiki platform to aid rapid updates and dissemination and the G-I-N Board of Trustees since August 2012 and Vice- developed Qstream education modules to link with them Chair of G-I-N since August 2013. which are currently being evaluated. He has published over 230 papers and 3 books. He was awarded Dr Fergus Macbeth Membership of the Order of Australia (AM) in 2011 “For service to medical oncology as a clinician, researcher, Fergus Macbeth is a recently retired administrator and mentor, and to the community through oncologist who has been involved in leadership roles with cancer control organisations.” developing clinical guidelines since 1994 and for 3 years was Director for the Centre for Clinical Practice at the National Institute Professor Holger Schünemann for Health and Care Excellence (NICE), and Succeeding eminent scientists including on the Board of G-I-N. He still works part time as David Sackett, Mike Gent, Peter Tugwell Mentor to NICE Fellows and Scholars and is and Brian Haynes, Dr. Schünemann is chair chairing a NICE guideline group. He has a of the Department of Clinical Epidemiology long standing clinical and research interest and Biostatistics at McMaster University, in lung cancer, leading and participating widely considered the birthplace of in important clinical trials. He has evidence-based medicine. He trained in internal medicine, epidemiology, preventive medicine and public health. Having contributed to over 400 peer-reviewed publications (many focusing on guideline and systematic review methodology) he is co-developer of the guideline 24
development tool (www.guidelinedevelopment.org) and the Dr Rae Thomas guideline checklist (cebgrade.mcmaster.ca/ Dr Rae Thomas is a Senior Research Fellow guidecheck.html). He is co-director of the WHO in the Centre for Research in Evidence- collaborating center for evidence informed policy-making, Based Practice at Bond University. She is a co-chair of the GRADE working group, a member of the Psychologist with over 20 years’ experience Board of Trustees of G-I-N, the Cochrane Collaboration providing psychological interventions. Her Steering Group, and World Health Organization program of research includes the committees. He led or participated in numerous guideline development, implementation, and evaluation of panels at the WHO, the ACP, ACCP and ATS and drafted randomised controlled trials and examining diagnostic the WHO’s handbook on guideline development. He enjoys tools and processes in patient decision making. his second home in Italy and long distance bike rides. Dr Maria Silvestre Associate Professor Per Vandvik Per Olav Vandvik is associate professor at Dr. Silvestre is a trained neonatologist who in the Department of Health Management and 2004, helped develop a Situational Analysis Health Economics, University of Oslo, on Newborn Health in the Philippines, which Norway. He is also researcher at the shifted her perspectives towards health Norwegian Knowledge Centre for the Health systems approaches to Essential Newborn Services in Oslo and acting consultant at Care. She is currently Consultant of the the Department of Medicine, Innlandet Hospital Trust- Department of Health, WHO, UNICEF Philippines and WHO Gjøvik, Norway. Dr.Vandvik spends most of his time Western Pacific Regional Office in Essential Intrapartum and heading a team dedicated to develop innovative solutions Newborn Care (EINC) and leads Team Unang Yakap or The for providing clinicians and patients with trustworthy First Embrace. She convened an 11-hospital project in 2011 evidence summaries, guidelines and decision aids at the and continues with EINC scale-up implementation, most point of care (www.magicproject.org). Dr.Vandvik is also a recently in post-disaster areas. She has consulted for recognized teacher in evidence-based medicine and UNICEF Cambodia and WHO Lao PDR for EINC adaptation. guideline methodology for clinicians and decision-makers She is a faculty member of the Asia – Pacific Center for in health care. Evidence-Based Medicine, and has co-authored “Painless Evidence Based Medicine”, published by John Wiley & Sons, Ltd (2008). She is President of Kalusugan ng Mag-Ina, Inc. a Dr Krisantha Weerasuriya non-stock, non-profit organization dedicated to protecting Dr Krisantha Weerasuriya is a clinical the mother-child dyad through research, policy development pharmacologist trained in the United and program implementation. Kingdom and educated on the subject in Sri Lanka and other countries and has recently Mr Ross Smith retired from the Essential Medicines section the World Health Organisation. His Ross Smith recently retired after twenty five experience in encouraging, shepherding, cajolling, years as a State High School Principal in implementing and finally monitoring rational drug use has Queensland. He was on the Executive been at national (Sri Lanka), regional (Southeast Asian Board of his professional association for region of WHO) and global (WHO HQ, Geneva) level over a decade and as such was active in through the roles of an educator (University academic) and influential on education policy at both medicines regulator, policy advisor and finally as the the state and national level. He has worked on exchange Secretary of the WHO Expert Committee on Selection and both interstate and overseas as a teacher and education Use of Essential Medicines. This journey also involved administrator. He is a past District Governor of Rotary side visits with NGOs, Civil Society Organisations and International and is currently the President of the Rotary monitoring of clinical trials. He continues to work in Club of Palm Beach on the Gold Coast. academia, medicines issues and health care financing mainly in middle and low income countries. He has a fond, eternal hope and optimism that the potential of essential medicines will be realised for low and middle income countries in his lifetime. 25
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