Cochrane · systematic review · CD000125

Local opinion leaders: effects on professional practice and healthcare outcomes

Flodgren, G, O'Brien, MA, Parmelli, E, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Effective Practice and Organisation of Care3 versionsAMSTAR 2: not assessed

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.

Questions

15

current version

GRADE rated

8

No studies

7

Included studies

NR

No studies 7 · 46.7%Ungraded 0 · 0%Very low 2 · 13.3%Low 1 · 6.7%Moderate 5 · 33.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Comparison

Population: Healthcare professionals (e.g. primary care physicians, surgeons, obstetricians, birth attendants, nurses)

CD000125.PUB5 (current) · 3 questions

Outcome	Effect	Evidence	Status / GRADE
Compliance with evidence‐based practice*	no estimate extracted	NR	Moderate
Patient (dichotomous) outcomes (including adverse events)	no estimate extracted	NR	Very low
Costs	no estimate extracted	NR	No studies

Summary of findings for secondary comparison 1

Population: Healthcare professionals (nurses, primary care physicians)

CD000125.PUB5 (current) · 3 questions

Outcome	Effect	Evidence	Status / GRADE
Compliance with evidence‐based practice*	no estimate extracted	NR	Moderate
Patient (dichotomous) outcomes (including adverse events)	no estimate extracted	NR	No studies
Costs	no estimate extracted	NR	No studies

Summary of findings for secondary comparison 2

Population: Healthcare professionals (nurses, physicians including obstetricians)

CD000125.PUB5 (current) · 3 questions

Outcome	Effect	Evidence	Status / GRADE
Compliance with evidence‐based practice*	no estimate extracted	NR	Moderate
Patient (dichotomous) outcomes (including adverse events)	no estimate extracted	NR	No studies
Costs	no estimate extracted	NR	No studies

Summary of findings for secondary comparison 3

Population: Healthcare professionals (nurses, physicians including surgeons)

CD000125.PUB5 (current) · 3 questions

Outcome	Effect	Evidence	Status / GRADE
Compliance with evidence‐based practice*	no estimate extracted	NR	Moderate
Patient (dichotomous) outcomes	no estimate extracted	NR	Low
Costs	no estimate extracted	NR	No studies

Summary of findings for secondary comparison 4

Population: Healthcare professionals

CD000125.PUB5 (current) · 3 questions

Outcome	Effect	Evidence	Status / GRADE
Compliance with evidence‐based practice*	no estimate extracted	NR	Moderate
Patient (dichotomous) outcomes	no estimate extracted	NR	Very low
Costs	no estimate extracted	NR	No studies

Comparison

Population: Healthcare professionals

CD000125.PUB4 · 1 question

Outcome	Effect	Evidence	Status / GRADE
Compliance with desired practice	no estimate extracted	NR	Low

Comparison

Population: Healthcare professionals

CD000125.PUB3 · 1 question

Outcome	Effect	Evidence	Status / GRADE
Compliance with desired practice	no estimate extracted	NR	Low