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Trusted evidence. Informed decisions. Better health.
Issue 02 | February 2016
What's new?

Events

Recent Activities

More evidence than anticipated: Evidence in Insurance Medicine

How much evidence exists in insurance medicine? The general perception prevails that little evidence is available to support decisions and judgments in insurance medicine. The Swiss CIM-group set up a pilot project to compile Cochrane reviews and other systematic reviews related to tasks in insurance medicine (e.g. sick leave, return to work, work disability) available in their own files. Furthermore, they collect instruments to support these tasks and studies that address specific issues on research methodology in insurance medicine. More than 80 Cochrane reviews and over 100 other systematic reviews and studies matched the inclusion criteria. Have a look
These findings are encouraging to proceed with the project. Interested to contribute? Visit our website for details.

Canadian opioid Guidelines will focus on Evidence

Chronic pain patients - commonly recipients of disability benefits – often receive opioids, which require a trade-off between possible benefits (e.g. pain relief) and possible harms (e.g. sedation, nausea, addiction). The interdisciplinary Canadian opioid guidelines that are currently being developed at the National Pain Centre under the lead of Jason Busse will provide important guidance regarding evidence-based practices for appropriate prescribing of opioids for chronic non-cancer pain.
The guideline group will update existing evidence from Cochrane and other systematic reviews and use the GRADE approach to develop recommendations tailored to patients, health professionals and policy makers. The group has engaged representatives from disability insurers to participate in the guideline development process, and help in dissemination of recommendations (they will not, however, be allowed to vote on the final guideline recommendations).
 

Cochrane Canada is moving to McMaster University

The Canadian Cochrane Centre is relocating and will be sharing facilities with the Canadian members of Cochrane Insurance Medicine at McMaster University in Hamilton. This creates opportunities for collaboration between Cochrane Insurance Medicine and the Canadian Cochranians, enabling a stronger national advocacy of insurance medicine.
 
Upcoming Events

New Guidance on Psychiatric Assessment of Work Disability

One highlight of the upcoming SIM annual conference will be the presentation of the new Guidance on Psychiatric Assessment of Work Disability which shifts the focus of the assessment to the evaluation of the claimant’s functionality.
Swiss CIM members will be promoting the nationwide free access to the Cochrane Library that was recently put in place by the Swiss Academy of Medical Sciences and the Federal Office of Public Health. This initiative will provide physicians, health professionals and lay people/consumers with access to high-quality evidence.
 

Information Needs in Insurance Medicine

An online needs assessment is coming up soon
An international online survey will contribute to better understand the information needs within the insurance medicine community. Focusing on practical issues and the practice of evidence-based insurance medicine and Cochrane’s perceived and / or expected contributions,  the results will help in setting the priorities within CIM.  Preliminary results will be presented at ICLAM  (May 2016) and EUMASS (June 2016) and on the Cochrane Insurance Medicine website.
 

Publications and Presentations

Obtaining and maintaining Employment in Adults with severe Mental Illness – a new Cochrane Protocol

Mental illness is responsible for significant high rates of unemployment and a high incidence of sickness absence and reduced productivity at work. One-third to one-half of all new disability benefit claims are submitted for mental health reasons. How can these adults be kept at work or be supported to obtain employment?   
The protocol for a network meta-analysis of hetergeneous vocational rehabilitation interventions was registered to establish the comparative effectiveness of these interventions and rank them according to their efficacy to facilitate competitive employment (principal investigator: Frederieke Schaafsma, Dutch CIM member).
 

On a final note

How to correctly apply a Cochrane Review to Practice

Bert Cornelius (Insurance Physician at University Medical Centre Groningen, NL) contributed this comic.
Our next newsletter will be published in May/June 2016.
 
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