Naviga&on Guide Systema&c Review Methodology
Tracey Woodruff, PhD, MPH Professor, Dept of Ob/Gyn August 9, 2016
Program on Reproductive Health and the Environment
People want to know
“I'm just wondering if any of the levels are alarmingly high?"
“it is hard to open up a discussion if you do not have good informa4on to give back - it is a disservice to the pa4ent and a [waste] of [precious] 4me"
“we can’t put the burden on pregnant women, we need societal change" PRHE, UCSF obstetrician focus groups 2
Altman, R. G.,(2008). Journal of Health and Social Behavior, 49(4), 417–435. Program on Reproductive Added by: Christie Hurrell Health and the Environment
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SCIENCE
DECISION
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Naviga&on Guide: A rulebook for “moving from knowing to doing”
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The Cochrane Collaboration
Naviga&on Guide Work Group
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Grades of Recommendation Assessment, Development and Evaluation
7
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2009 Naviga4on Guide: A rulebook for “moving from knowing to doing”
Program on Reproductive Health and the Environment
2014
Healthy Pregnancies Healthy Children Healthy Future Genera&ons
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Formaldehyde & Asthma
Navigation Guide Conceived
2009
Navigation Guide Published
2010 Navigation Guide Editorial
2011
2012
PFOA & Birthweight
2013
Air Pollution & Autism
2014 Triclosan & Repro/Dev
2015
2016
PBDE & Neurodevelopment
OHAT Method Program on Reproductive Health and the Environment
“ …systematic-review standards provide an approach that would substantially strengthen the IRIS process…” NAS 2014
“EPA should consistently use a more systematic approach to evaluating the literature ……….” NAS 2014 11
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The Verdict
• The method works • Continues to evolve as we learn and with changes in evidence stream • Aids in translating our findings to clinical and health related fields • BUT – need $$ and training Program on Reproductive Health and the Environment
Conclusion: Need new and robust rules for evidence-based decision-making in the 21st century
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Join the Navigation Guide Working Group
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Thank you! Program on Reproductive Health and the Environment
Program on Reproductive Health and the Environment