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The Cochrane Peripheral Vascular Diseases Group
Proposal for a new Cochrane Review
Please complete and email this form to h.g.maxwell@ed.ac.uk.
Heather Maxwell, Review Group Co-ordinator, Cochrane Peripheral Vascular Diseases Group,
Public Health Sciences, The Medical School, The University of Edinburgh,
Teviot Place, Edinburgh EH8 9AG.
Tel: +44 131 6503206 Fax: +44 131 6506904
Authors completing this form must note that they are required to read and follow The Cochrane Handbook for Systematic Reviews of Interventions. in
preparing their review http://www.cochrane.org/resources/handbook/index.htm
Proposed Title (Using Standard Format)
Motivation for the Review (Is this part of a PhD, is it topical?)
Description of proposal (Your proposal should not overlap with reviews already published or
underway. Please refer to the PVD website or contact the editorial base for details of registered titles.)
(a) Objective (What is the research question?)
(b) Rationale for review (Why is this review important? You may provide citations of relevant papers.)
For information on the following sections, please refer to section 4.2 of the Cochrane Handbook for Systematic Reviews of Interventions (http://www.cochrane.org/cochrane/handbook/hbook.htm)
(c) Types of study (These will generally be randomised controlled trials.)
(d) Participants (What sort of participants will the relevant studies have recruited? You may want to define them
in terms of age or gender, duration of problem etc.)
(e) Interventions and specific comparisons to be made (What interventions are you interested in
assessing? The intervention could be a drug, surgical technique, physical treatments, exercise etc.) What are you comparing the intervention with? The comparison may be against no treatment, placebo, other drug, or alternative surgical technique etc.)
(f) Outcomes (What outcomes do you think are important? Remember to consider outcomes that patients
consider the most important e.g. pain, side effects, quality of life.)
(g) What subgroup analysis do you intend to undertake? (Will certain factors be investigated for
their influence on the treatment effect e.g. dose, duration etc.)
(h) Other information relevant to this proposal (relevance to consumers, and ideas for consumer input
into review.)
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Review author team and area of expertise
Name
Area of expertise (please indicate the background and
skills of each review author and the expertise they bring to the review team e.g. content, methodology; statistics)
Contact author: Co-author(s) :
Do you or your co-authors have any interests in this topic that could be perceived as conflicts of interest?
Cochrane Reviews should be free of any real or perceived bias introduced by the receipt of any benefit in cash or kind, any hospitality, or any subsidy derived from any source that may have or be perceived to have an interest in the outcome of the review. It is a matter of Cochrane Collaboration policy that direct funding from a single source with a vested interest in the results of the review is not acceptable.
See http://www.cochrane.org/docs/commercialsponsorship.htm
Yes
No
If ‘yes’, what are they?
Is this review the subject of specific funding and/or does it need to be finished within a specific timeframe? If yes, please give details.
Has the review already been carried out or published?
If yes, where has it been published?
Roles and responsibilities
TASK
Draft the protocol Develop a search strategy Search for trials (usually 2 people) Obtain copies of trials
Select which trials to include (2 + 1 arbiter) Extract data from trials (2 people) Enter data into RevMan Carry out the analysis Interpret the analysis Draft the final review Update the review
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WHO HAS AGREED TO UNDERTAKE THE TASK?
Other information
Have you or a co-author written a systematic review before?.................................
If yes, was it a Cochrane Review?...............................................................
Do you have a copy of the Cochrane Handbook for Systematic Reviews of Interventions?.......................................................................................................... Have you attended a Cochrane Review training workshop?...................................
If yes, which one?........................................................................................ If no, are you planning to? Which one?.......................................................
Yes Yes Yes Yes Yes Mac Yes Yes Yes Yes Yes Yes Yes Yes
No
If yes, which software, and what version? ……………………………………..
Yes Yes Yes Yes Yes Yes Yes Yes
No
No No No No No No No
No No
If yes, can you order journal articles not held in the Library?
No No No No
No No PC No
No No
No No
Do you have a copy of RevMan 4.2.8, the Cochrane Review Manager software? What type of computer do you use?....................................................................... Do you have ready access to email and the internet?............................................ Do you have access to:
Do you have access to a medical library:
Do you have access to reference management software:
The Cochrane Library MEDLINE PubMed EMBASE
Have you seen the Cochrane PVD Review Group website?....................................... Yes
Do you require assistance with:
Using RevMan (currently version 4.2.8)?.................................................. Searching The Cochrane Library?.........
Translation of articles?................................................................ Training?.............................................................................. Access to a statistician (strongly recommended)?................... Contact with consumer groups?............................................... Seeking funding/scholarship opportunities?..................................
Do you predominantly speak/write in a language other than English?........
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Provisional dates for submission of drafts to editorial base
(A) Draft PROTOCOL ……………….………………………………………………………..
(B) Draft REVIEW . ……………………………………………………………………….
Agreement to Editorial Review and Publication in The Cochrane Library
By completing this title registration form, you agree to submit a draft protocol within three months. If there is no correspondence from you during this period, or no draft protocol has been received, the Cochrane Review Group reserves the right to de-register the title or transfer the title to a new author.
By completing and returning this form, you are accepting responsibility for maintaining and updating the review in accordance with Cochrane Collaboration policy, i.e. you will be responsible for ensuring the review is updated at least every two years. If you are unable to update this review the Review Group reserves the right to transfer the review to a new author.
The support of the editorial team in producing your review is conditional upon your agreement to publish the protocol and finished review, together with subsequent updates, in The Cochrane Library. By completing and signing this form you undertake to publish firstly in The Cochrane Library (concurrent publication in other journals may be allowed in certain circumstances with prior permission of the editorial team.).
I understand the long-term commitment necessary when undertaking a Cochrane Review.
Form completed by: ……………………………………………… Date: …….………………
Details of contact author
Prefix (e.g. Ms, Dr): First name: Job title/Position Department: Organisation: Address: City:
Region/State: Post/Zip code: Telephone number: Mobile number: Email address: Privacy:
Country of origin:
……………………………… ……………………………….
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Family name:
……………………………........................................... …………………………….. …………………………………………………………………………..……….………… …………………………………………………………………………..…….…………… …………………………………………………………………………..……….………… …………………………………………………………………………..………..….……. …………………………………………………………………………………….…….… ……………………………… ………………………………
Country: Fax number:
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Hide address details Yes Hide email address Yes
No No
Female
Male
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Gender:
Details of co-author(s)
Prefix (e.g. Ms, Dr): First name: Job Title/Position: Department: Organisation: Street/Address: City:
Region/State: Post/Zip code: Telephone number: Mobile number: Email address:
Privacy:
Country of origin:
………………………..………
………………………...……… Family name: …………………………..……..….
…………………………………………………………………………..…….…………… …………………………………………………………………………..……….………… …………………………………………………………………………..…….…………… …………………………………………………………………………..….……..………. …………………………………………………………………………..……..…..……… ………………………………………………………………………………….….…….… ……………………………… ………………………………
Country: Fax number:
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Hide address details Yes No Hide email address Yes No Gender: Female Male
Details of co-author(s)
Prefix (e.g. Ms, Dr): First name: Job Title/Position: Department: Organisation: Street/Address: City:
Region/State: Post/Zip code: Telephone number: Mobile number: Privacy:
Country of origin:
………………………..………
………………………...……… Family name: …………………………..……..….
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Country: Fax number: Yes Yes
No No
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Gender: Female Male
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Details of co-author(s)
Prefix (e.g. Ms, Dr): First name: Job Title/Position: Department: Organisation: Street/Address: City:
Region/State: Post/Zip code: Telephone number: Mobile number: Email address:
Privacy:
Country of origin:
………………………..………
………………………...……… Family name: …………………………..……..….
…………………………………………………………………………..…….…………… …………………………………………………………………………..……….………… …………………………………………………………………………..…….…………… …………………………………………………………………………..….……..………. …………………………………………………………………………..……..…..……… ………………………………………………………………………………….….…….… ……………………………… ………………………………
Country: Fax number:
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…………………………………………………………….……………….…….………… ……………………………………………………………………………………………..
Hide address details Yes No Hide email address Yes No Gender: Female Male
Details of co-author(s)
Prefix (e.g. Ms, Dr): First name: Job Title/Position: Department: Organisation: Street/Address: City:
Region/State: Post/Zip code: Telephone number: Mobile number: Privacy:
Country of origin:
………………………..………
………………………...……… Family name: …………………………..……..….
…………………………………………………………………………..…….…………… …………………………………………………………………………..……….………… …………………………………………………………………………..…….…………… …………………………………………………………………………..….……..………. …………………………………………………………………………..……..…..……… ………………………………………………………………………………….….…….… ……………………………… ……………………………… Hide address details Hide email address
Country: Fax number: Yes Yes
No No
……………………..……….……… ………………………….…………..
…………………………………………………………….……………….…….…………
Gender:
Thank you for completing this form.
Female Male
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For office use only
1. Approved title:
………………………………………………………………………………………………………..
2. Approved by:
(a) Name: ….……………………………………………………………………………………..… .
Role …………………………………………. … Date approved ………………….………….…
(b) Name: …………………………………………………………………………………………….
Role: ……………………………………………. Date approved ………………………………
3. Review number:
4. Contact identifiers:
5. Date registered in IMS: ………………………………………………………………………..
6. Notes (e.g., CRGs who will provide referees)
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