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1 Japanese Translation of the Cochrane Review Abstracts, and Others 10 th Minds Seminar Development, Distribution and Utilization of the Cochrane Reviews: Role of EACA Part Two: Translation of Cochrane Reviews in East Asian Countries 28 January 2011 (Sat), Tokyo Kiichiro TSUTANI MD, PhD 津谷喜一郎 Chair, Committee of HTA, Minds; Dept. of Drug Policy and Management, Grad. School of Pharm. Sciences, The University of Tokyo 1 7,000 6,000 5,000 4,000 New Protocols this issue Protocols (under reviewing) Updated reviews this Issue New reviews this Issue Total reviews produced to date (sum of new reviews), less new reviews this issue, less updated reviews this issue 3,000 2,000 1, /1 1995/2 1996/1 1996/2 1996/3 1997/1 1997/2 1997/3 1997/4 1998/1 1998/2 1998/3 1998/4 1999/1 1999/2 1999/3 1999/4 2000/1 2000/2 2000/3 2000/4 2001/1 2001/2 2001/3 2001/4 2002/1 2002/2 2002/3 2002/4 2003/1 2003/2 2003/3 2003/4 2004/1 2004/2 2004/3 2004/4 2005/1 2005/2 2005/3 2005/4 2006/1 2006/2 2006/3 2006/4 2007/1 2007/2 2007/3 2007/4 2008/1 2008/2 2008/3 2008/4 2009/1 2009/2 2009/3 2009/4 2010/1 2010/2 2010/3 2010/4 2011/1 2011/2 Japanese trans of CR abstract: ca 1,300 Trans. by JANCOC 481 * JANCOC (Japanese informal Network for the Cochrane Collaboration) Trans. by Minds 28% of CR abstracts is available in Japanese at Minds website 1

2 Early days of Japanese Translation by voluntary group in JANCOC 3 Translation by JANCOC ( ) JANCOC: Japanese informal Network of The Cochrane Collaboration Translated from 1997 Issue issue 4; 6 issues, i.e., 18 months Draft translation: ca 15 pharmacists Checkers : ca 15 MDs Target: All Cochrane Review abstracts 481 abstract Voluntary base Abandoned in 1999 because of difficulty of management of editing work, not because of translation work. 4 2

3 JANCOC: 開店休業状態 inactive since ,000 6,000 5,000 4,000 New Protocols this issue Protocols (under reviewing) Updated reviews this Issue New reviews this Issue Total reviews produced to date (sum of new reviews), less new reviews this issue, less updated reviews this issue 3,000 2,000 1, /1 1995/2 1996/1 1996/2 1996/3 1997/1 1997/2 1997/3 1997/4 1998/1 1998/2 1998/3 1998/4 1999/1 1999/2 1999/3 1999/4 2000/1 2000/2 2000/3 2000/4 2001/1 2001/2 2001/3 2001/4 2002/1 2002/2 2002/3 2002/4 2003/1 2003/2 2003/3 2003/4 2004/1 2004/2 2004/3 2004/4 2005/1 2005/2 2005/3 2005/4 2006/1 2006/2 2006/3 2006/4 2007/1 2007/2 2007/3 2007/4 2008/1 2008/2 2008/3 2008/4 2009/1 2009/2 2009/3 2009/4 2010/1 2010/2 2010/3 2010/4 2011/1 2011/2 Japanese trans of CR abstract: ca 1,300 Trans. by JANCOC 481 * JANCOC (Japanese informal Network for the Cochrane Collaboration) Trans. by Minds 28% of CR abstracts is available in Japanese at Minds website 3

4 Three Committee in Minds 1. June 2003 CPG Selection Committee ( 診療ガイドライン選定部会, 前 診療ガイドライン選定委員会 ) 2. June 2003 Committee for EBM Promotion and Education (EBM 普及啓発部会, 前 医学文献評価選定委員会 ) 3. April 2005 Committee for HTA ( 医療技術評価部会 ) 7 Scope of Japanese Translation of Cochrane review abstract Scope: 1) Cochrane Reviews which is related to CPGs selected and posted in Minds website 2) Areas by two voluntary groups i) Oral health ii) Antismoking 8 4

5 The number of CPGs on Minds website the number of CPGs st ed nd ed rd ed th ed 0 5th ed 0 6 th ed. 1 total Nearly half of CPGs on Mind website is 2 nd edition and more. 9 7,000 6,000 5,000 4,000 New Protocols New protocols this Issue Updated reviews this Issue New reviews this Issue Total reviews produced to date (sum of new reviews), less new reviews this issue, less updated reviews this issue 3,000 2,000 1, /1 1995/2 1996/1 1996/2 1996/3 1997/1 1997/2 1997/3 1997/4 1998/1 1998/2 1998/3 1998/4 1999/1 1999/2 1999/3 1999/4 2000/1 2000/2 2000/3 2000/4 2001/1 2001/2 2001/3 2001/4 2002/1 2002/2 2002/3 2002/4 2003/1 2003/2 2003/3 2003/4 2004/1 2004/2 2004/3 2004/4 2005/1 2005/2 2005/3 2005/4 2006/1 2006/2 2006/3 2006/4 2007/1 2007/2 2007/3 2007/4 2008/1 2008/2 2008/3 2008/4 2009/1 2009/2 2009/3 2009/4 2010/1 2010/2 2010/3 2010/4 2011/1 2011/2 Japanese trans of CR abstract: ca 1,300 Trans by JANCOC 481 * JANCOC (Japanese informal Network for the Cochrane Collaboration) Trans by Minds 28% of CR abstracts is available in Japanese at Minds website 5

6 Process and quality control of Japanese translation of CPG-related CR Step 1 Draft translation by commercial translation company. Chosen thru bidding including test translation of three abstracts, every year until Every 5 year since 2011 Translation manual, including Japanese translation of the Glossary of Clinical Evidence 11 Step 2: Checked by 13 health professionals 内科 Internist 4 消化器内科 Gastrologist 2 循環器内科 Cardiologist 1 外科 Surgeon 1 小児科 Pediatrician 1 家庭医学 Family medicine 1 歯科 Dentist 1 助産学 Midwifery 1 老年看護学 Nursing for elderly 1 They are paid for their work by Minds 12 6

7 Two type of Japanese translation of CR abstract Difference between 翻訳 and Draft 翻訳 例 (e.g. Cerebral Infarction) 全 145 件のうち上位 5 件 ( すべて翻訳 ) 下位 5 件 ( すべて Draft 翻訳 )

8 15 翻訳 の box ご注意 : この日本語訳は 臨床医 疫学研究者などによる翻訳のチェックを受けて公開していますが 訳語の間違いなどお気づきの点がございましたら Minds 事務局までご連絡ください なお コクラン ライブラリは年 4 回改定版が発行されます Minds では最新版の日本語訳を掲載するよう努めておりますが 編集作業に伴うタイム ラグが生じている場合もあります ご利用に際しては 最新版 ( 英語版 ) の内容をご確認ください (Caution: This Japanese translation is checked by clinician, epidemiologist and others. If you find problems in translation, please contact Minds office.. Because of time lag of translation, please visit original English version when you use it. ) Draft 翻訳 の box * ご注意 : この日本語訳は 試験的翻訳 (Draft 翻訳 ) 版として公開するものであり 翻訳の正確さや質が保証されたものではありません 訳語の間違いなどお気づきの点がございましたら Minds 事務局までご連絡下さい また この試験的翻訳版はコクラン ライブラリ 2005 年 issue 4 に掲載されたレビュー アブストラクトの翻訳です コクラン ライブラリは年 4 回改定版が発行されていますので ご利用に際しては 最新版 ( 英語版 ) の内容をご確認下さい (Caution: This English translation is draft translation and its correctness and quality is not validated. ) 16 8

9 Draft 翻訳 17 Open access to Minds website since 2008 Before After non-login system introduced At the end of September

10 Rank Top 20 access to disease groups Before (May 2008) After (February 2009) user access Disease group oral health 2 79 decubitus 3 60 ulcerative colitis 4 56 breast cancer 5 50 cerebral infarction 6 45 asthma 6 45 lung cancer 8 38 osteoporosis 9 30 diabetes mellitus 9 30 gastric cancer 9 30 pancreatic cancer colon cancer prostate cancer gastric ulcer anterior cruciate ligament injury Alzheimer-type dementia ischemic heart disease intracranial hemorrhage cataract hip fracture/trochanteric fracture hepatoma Rank user access Disease group oral health cerebral infarction diabetes mellitus asthma Alzheimer-type dementia low back pain decubitus colon cancer hip fracture/trochanteric fracture breast cancer intracranial hemorrhage acute myocardial infarction lung cancer osteoporosis ulcerative colitis subarachnoid hemorrhage acute cholangitis, cholecystitis hypertension acute otitis media in children chronic heart failure Total number of user access: 1,273 Total number of user access: 31, Top 20 access to the Cochrane Reviews Before (May 2008) Rank user access Disease group Title 1 25 oral health Manual versus powered toothbrushing for oral health oral health Antibiotics to prevent complications following dental implant treatment decubitus Nutritional interventions for preventing and treating pressure ulcers pancreatic cancer Chemotherapy and radiotherapy for inoperable advanced pancreatic cancer oral health Interventions for replacing missing teeth: 1- versus 2-stage implant placement oral health Interventions for replacing missing teeth: dental implants in fresh extraction sockets (immediate, immediate-delayed and delayed implants) gastric cancer Chemotherapy for advanced gastric cancer decubitus Support surfaces for pressure ulcer prevention oral health Fluoride mouthrinses for preventing dental caries in children and adolescents gastric cancer Endoscopic mucosal resection for early gastric cancer decubitus Wound cleansing for pressure ulcers decubitus Topical silver for treating infected wounds oral health Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents oral health Fluoridated milk for preventing dental caries oral health Fluoride gels for preventing dental caries in children and adolescents oral health Recall intervals for oral health in primary care patients colon cancer Colorectal Meta-analysis Collaboration. Palliative chemotherapy for advanced or metastatic colorectal cancer pancreatic cancer Endoscopic retrograde cholangiopancreaticography with or without stenting in patients with pancreaticobiliary malignancy, prior to surgery asthma Fluticasone versus beclomethasone or budesonide for chronic asthma in adults and children oral health Interventions for replacing missing teeth: treatment of perimplantitis

11 rank Top 20 access to Cochrane Reviews user access Disease group Title low back pain Back schools for non-specific low-back pain low back pain Low level laser therapy for nonspecific low-back pain decubitus Wound cleansing for pressure ulcers decubitus Risk assessment tools for the prevention of pressure ulcers decubitus Nutritional interventions for preventing and treating pressure ulcers decubitus Topical negative pressure for treating chronic wounds hip fracture/ trochanteric fracture Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults Alzheimer-type dementia Galantamine for Alzheimer's disease and mild cognitive impairment gastric cancer Chemotherapy for advanced gastric cancer hip fracture/ trochanteric fracture Conservative versus operative treatment for hip fractures in adults colon cancer Quality of life after rectal resection for cancer, with or without permanent colostomy colon cancer Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications acute otitis media in children Pneumococcal vaccines for preventing otitis media lumbar disc herniation Rehabilitation after lumbar disc surgery acute myocardial infarction Incentive spirometry for preventing pulmonary complications after coronary artery bypass graft cervical degenerative disc disease After (February 2009) Single or double-level anterior interbody fusion techniques for cervical degenerative disc disease arrhythmia Electrical cardioversion for atrial fibrillation and flutter decubitus Topical silver for treating infected wounds. 21 Order of Minds in web search of コクラン (Cochrane) September 2008 October 2008 November 2008 December 2010 Google Yahoo MSN non-login system introduced at the end of September

12 Minds user survey survey to 35,000 users in mailing list of Minds from Dec to Feb ,940 (8.4%) responded 20 歳代以下 30 歳代 40 歳代 50 歳代 60 歳代 70 歳代以上 医療関連職 医療提供者 一般 自分の健康家族や友人 知人の健康学習や知識習得その他 医療関連職 医療提供者 一般

13 Satisfaction on each data source of Minds 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% CPG 医療提供者向け GL Minds アブストラクト 医療提供者医療系学生医療関連職一般 CR abstracts コクラン レビュートピックス CPG レビュー一般向け GL やさしい解説 GL 解説 利用者 医療提供者 医療系学生 医療関連職 一般 ( コンテンツ区分 ) 医療提供者向けGL 92% 88% 91% 83% Mindsアブストラクト 70% 74% 69% 66% コクラン レビュー 72% 62% 74% 76% トピックス 59% 29% 62% 53% CPGレビュー 57% 42% 48% 54% 一般向けGL 72% 76% 71% 80% * やさしい解説 74% a 64% 77% 88% a GL 解説 66% 56% 72% 80% CPG for patients * はコンテンツ区分と利用者種別のクロス集計の独立性の検定 (χ 二乗 ) において有意な差が認められたことを意味する (p < 0.001) 肩付のアルファベットは 同一のアルファベット間に有意な差が認められたことを意味する (p < 0.001) Hatakeyama Y Others Japanese Hand Search and Electronic Search Project (JHES) 26 13

14 27 Hand searched journal and identified RCTs 1. 臨床評価 401 (completed ) 2. 薬理と治療 912 (completed ) 3. 臨床と研究 752 (completed ) 4. 基礎と臨床 807 (completed ) 5. Therapeutic Research 270 (completed ) 6. 日本看護科学会誌 5 (completed ) 7. 麻酔 634 (completed ) 8. 臨床医薬 962 (completed ) 8. 医学のあゆみ ongoing 9. Other four ongoing 28 14

15 Summary Infrastructure type of works of translation and hand search was introduced. Those who wishes academic promotion, should not enter into this kind of work, as it is usually not recognized as academic work. 29 Thanks you 30 15

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