Cochrane library`s database not an unequivocal blessing

  • 30/03/2007

Cochrane library`s database not an unequivocal blessing The Indian Council of Medical Research (icmr) has recently purchased access rights to contents published in the uk-based Cochrane library's website. It contains evidence to assist decision-making related to healthcare, including reviews, clinical trials and results of research worldwide.

The contract is for three years and the database is available at "icmr is a progressive organisation. We hope to do more good work in this part of the world and produce many Cochrane reviews with Indian contributors,' says Lorne Becker, co-chair of the Cochrane Collaboration steering group. Experts develop these reviews, putting out conclusions for doctors and consumers. There are three-monthly updates.

The database provides information on about 50 topics, such as infectious diseases, on which around 105 reviews are available. Even neglected tropical diseases are included. "This will help bring evidence-based medicine to the forefront of medical practice in India,' says Prathap Tharyan of the Christian Medical College, Vellore, and coordinator, South Asian Cochrane Network.

But there are pitfalls, say experts. "It is easy for pharmaceutical companies to influence reviews,' says Jacob M Puliyel, head of the paediatrics department, St Stephen's Hospital, Delhi. He cites a study by him and some colleagues to find whether it would be worth stocking surfactant