Data Extraction Template for Cochrane Reviews Introduction The Cochrane Consumers & Communication Review Group has developed this template for its review authors. The template is designed to capture relevant information about the types of interventions covered within our Group’s scope, in order to facilitate the presentation of data in Cochrane systematic reviews. This template is to be used as a guide; review authors should revise it as appropriate for their own review topic. This template is for use with included studies only. It suggests elements which should be addressed in the Characteristics of Included Studies table, Risk of Bias tables and Data and Analyses section in RevMan 5. This template is most suited to the assessment of bias for RCTs; however, elements can be adapted for use in the assessment of non-randomised studies, and we have indicated below how to adapt the Risk of Bias tool for these types of studies. For Interrupted Time Series the data extraction template may need substantial reworking (See the Review Group’s Study Quality Guide (http://cccrg.cochrane.org/author-resources ) for more information). Before finalising and piloting your own tailored data extraction form, read the Cochrane Handbook for Systematic Reviews of Interventions (Chapter 7 “Selecting studies and collecting data”) which contains further relevant instructions. For guidance on completing the assessment of risk of bias, you must refer to the Cochrane Handbook (Chapter 8) and the Review Group’s Study Quality Guide (http://cccrg.cochrane.org/author-resources) . Notes on using a data extraction form: Be consistent in the order and style you use to describe the information…This will make it easier to complete the Characteristics of Included Studies and Risk of Bias tables, prevent you from overlooking information and make reading of the review easier. When extracting this information, you should record the source of each piece of information, including the precise location within a document. Highlight any missing information as unclear or not described, to make it clear to the reader of your review that the information was not included in the description of the study, not that you forgot to extract it. It may be reasonable to make assumptions about how the study was conducted, but these assumptions must be reported by the review author for transparency Supplement ambiguous quotes with ‘Probably done’ or ‘Probably not done’, providing a rationale for the assumption. Include instructions and decision rules on the data collection form. It is crucial that you practice using the form and receive, or give, training if the form was designed by someone other than the person using it. A cheat sheet containing decision rules and examples is very useful – particularly if more than one review author is extracting data, to ensure consistency. You must try to contact trial authors for any additional information or clarification required.. When asking trial authors for more information about the study design and conduct, open ended questions will reduce the risk of overly positive answers. See Cochrane Handbook section 8.3.4. Sample letters to authors are available from the Managing Editor. A note on record keeping: Completed extraction sheets (paper or electronic) must be retained by the lead author to facilitate data checking. These sheets should be made available to the Review Group editorial office upon request by Version 1.5.0, updated 8 Feb 2013 the Managing Editor. These will be requested in select circumstances where it is unclear how data in the review were derived. Page 2 of 7 Form version/date (eg. Version 1.4, 5 August 2011) Review Title Study ID (Surname Year: as it will appear in RevMan) Name of review author completing this form Date form completed Notes (Unpublished – for own use) Eg. References to be followed up, source of information (especially if multiple reports of same trial, or unpublished data/personal communication included). Methods: Details of Study Aim of intervention (As stated in the trial report/s. What was the problem that this intervention was designed to address?) Aim of study (As stated in the trial report/s. What was the trial designed to assess?) Study design Methods of recruitment of participants (How were potential participants approached and invited to participate?) Inclusion/exclusion criteria for participation in study Informed consent obtained? (Yes/No/Unclear) Ethical approval (Yes/No/Unclear) Funding (including source, amount, if stated). Statistical methods and their appropriateness (if relevant) Consumer involvement (eg. In design of study and/or intervention; in delivery of intervention; in evaluation of intervention; in interpretation of study findings) Page 3 of 7 Assessment of Risk of Bias for RCTs, quasi-RCTs and CBAs (used to complete the ‘Risk of Bias’ tables in RevMan 5.) Adapted from Cochrane Handbook Table 8.5.a: The Cochrane Collaboration’s tool for assessing risk of bias NOTES: For details on how to complete this section, you must refer to the Cochrane Handbook, chapter 8, particularly Table 8.5.c. If you are including quasi-RCT and CBA study designs, you will need to complete the Risk of Bias tool in a particular way for those studies (see next page). For ITS studies you should utilise the Review Group’s amended Risk of Bias tool as outlined in the Study Quality Guide (http://cccrg.cochrane.org/author-resources) For tips on how to enter data into RevMan 5, see “Risk of Bias” tables in the RevMan User Guide. Domain Review authors’ judgement High risk Random sequence generation* Unclear Low risk Support for judgement Describe the method used to generate the allocation sequence in sufficient detail to allow an assessment of whether it should produce comparable groups. Quasi-RCTs and Controlled Before and After (CBA) studies must be rated as ‘High Risk’ for random sequence generation as the methods were not, by definition, truly random. If you are including only RCTs in your review, papers marked ‘high risk’ should be excluded as they are not truly randomised. High risk Allocation concealment Unclear Low risk Blinding of participants and personnel Assessments should be made for each main outcome (or class of outcomes). Blinding of outcome assessment Assessments should be made for each main outcome (or class of outcomes). High risk Unclear Low risk High risk Unclear Low risk Describe the method used to conceal the allocation sequence in sufficient detail to determine whether intervention allocations could have been foreseen in advance of, or during, enrolment. CBA Studies should be rated ‘High Risk. Quasi-RCTs are likely to be rated ‘High Risk but there may be some exceptions. Describe all measures used, if any, to blind study participants and personnel from knowledge of which intervention a participant received. Provide any information relating to whether the intended blinding was effective. Describe all measures used, if any, to blind outcome assessors from knowledge of which intervention a participant received. Provide any information relating to whether the intended blinding was effective. If the outcome is objective (eg. length of hospital stay) the rating should be Page 4 of 7 ‘Low risk. Incomplete outcome data Assessments should be made for each main outcome (or class of outcomes). High risk Unclear Low risk Selective reporting High risk Unclear Describe the completeness of outcome data for each main outcome, including attrition and exclusions from the analysis. State whether attrition and exclusions were reported, the numbers in each intervention group (compared with total randomized participants), reasons for attrition/exclusions where reported, and any re-inclusions in analyses performed by the review authors. State how the possibility of selective outcome reporting was examined by the review authors, and what was found. Low risk Other sources of bias See the Cochrane Handbook 8.15.1 for further examples of potential threats to validity, as well as 16.3.2 for issues relating to cluster trials and 16.4.3 for cross-over trials. Note: all answers should follow the format: State any important concerns about bias not addressed in the other domains in the tool. High risk If particular questions/entries were prespecified in the review’s protocol, responses should be provided for each question/entry. Unclear Low risk Participants: Description (eg. Patients/consumers; carers; parents of patients/consumers; health professionals; well people in the community) Geographic location (eg. City/State/Country) Setting (eg. Community, home, primary health centre, acute care hospital, extended care facility) Number: (Eligible, excluded, refused to take part, randomised to intervention, randomised to control, excluded post randomisation, withdrawn, lost to follow up, died, included in analysis, included for each outcome) Age: range, mean (standard deviation) Gender Ethnicity Principal health problem or diagnosis (if relevant) Other health problem/s (if relevant) Stage of problem/illness (if relevant) Treatment received/receiving Other social/demographic details (eg. literacy or reading level) Page 5 of 7 Interventions: Details of intervention, including theoretical basis (with key references), aim, content, format(s) (media), source, setting. (Capture this information for each arm of the study, eg. Intervention A, Intervention B…) Details of control/usual or routine care Details of co-interventions in all groups (co-interventions may be separate to the intervention of interest for this review, or they may be other similar elements in a suite of interventions having a common purpose. Record all relevant information). Delivery of intervention (eg. stages, timing, frequency, duration) (for each intervention included in the study, eg. Intervention A; Intervention B…) Details of providers (Who delivers the intervention?; number of providers; training of providers in delivery of intervention). Intervention quality (if relevant): (Record any information on the quality of the intervention - assessed by study authors, others, or by you - such as the evidence base of the intervention, or the quality of staff training for intervention delivery) Fidelity/integrity (Was the intervention delivered as intended? Record any assessment of this). Outcomes: Principal and secondary outcome measures (as identified by the study authors). Methods of assessing outcome measures (eg, phone survey, questionnaire, physical measurements (for each outcome)) Validity and reliability of outcome measures Methods of follow-up for non-respondents Timing of outcome assessment (including frequency, length of follow up (for each outcome)) Adverse events (eg complaints, levels of dissatisfaction, adverse incidents, side effects)) Notes (These are published in the table Characteristics of Included Studies) For example: Contact with author (Yes (information obtained)/No) (SEE NOTE ON PAGE 1) Power calculation? Record if the study was translated from a language other than English. Record if the study was a duplicate publication. Results These data will be used in the “Comparisons and Data” section in RevMan (not the table “Characteristics of Included Studies”) and as the basis for the “Results” section of your review text. Page 6 of 7 All data are numbers (of patients/units), not percentages. Dichotomous outcomes Outcome Timing of outcome assessment (days/months) Intervention group* Observed Total (N) (n) Control group Observed Total (N) (n) Notes *Note: add additional columns if there is more than one intervention group, eg. Intervention Group A, Intervention Group B… Continuous outcomes Outcome Timing of outcome assessment (days/months) Intervention group *Mean / Mean change Standard deviation Control group N *Mean / Mean change Standard deviation Notes N *delete as appropriate Page 7 of 7