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titlePlease note!

Commonly used concepts and their categories are being added regularly to

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tables in this guidance document

Table of Contents

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maxLevel3

Workflow

Initial workflow

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Basic steps

Each step is hyperlinked to a brief demo video.

  1. Search

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BAU workflow

(yet to be determined/in discussion)

Prioritisation of study type

  1. Interventional - the annotators mentioned above will annotate these studies
    1. RCT
    2. Other
  2. Diagnostic/Prognostic - being annotated by others
  3. Observational & other types

Guidance for annotation

(more detailed step by step guidance) Deirdre to insert

Annotation widget

We have imported the annotation widget, that we use for systematic review annotation, in to the CRS Web

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  • The register will be listed with any other registers that you access via the CRS Web
  • Search and layout is identical to that in other CRS registers
  • Additional fields have been added to the CRS records to assist us in our workflow

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titleClick here to view additional fields
  1. Register for studies
  2. Login to CRS Web & select COVID-19 Register (make sure you have ticked IN REGISTER as you do not want to search beyond this)
  3. Within the CRS Web search for study using the title or study ID
  4. Open annotation widget within the record to annotate

Annotation detail 



Required

Not requiredNotes

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 when an annotation is completed this field will be autofilled with the users name

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there are two options here, In Progress or Vocabulary Request. 

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  • Three annotation status are available 

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titleClick here for list ot status

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Status

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Description

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Available for annotation

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record is available for anyone to annotate

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Annotating 

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the record is open and being annotated by another person

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Annotated 

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annotation has been completed

Annotation detail required

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PICO component

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Population/Condition
  • Sex
  • Age 
  • Condition



Intervention
  • Drug/Material/Procedure
  • Category

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  • dosage
  • schedule
  • units
If the study is comparing dosage please insert this data
Comparator
  • Drug/Material/Procedure
  • Category heading



Outcomes
  • Primary

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  • Secondary
  • Category heading
  • endpoints
For each outcome create a new group

Terms not already in vocabulary

  • our Vocabulary browser is available HERE
Info
titleNot possible to complete the full annotation?

In some cases you will not be able to complete a full annotation. We ask that you:

  1. mark the annotation as Complete

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  1. in the Annotation Action field in the CRS record select Vocabulary Request
  2. in the Annotation Notes field take note of the term requested
  3. request the missing term(s) in the Slack channel alerting Anna Last
  4. as soon as requested term(s) are available modify the annotation
  5. remove Vocabulary Request action
  6. remove the term requested from the Annotation Notes field


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<a href="#com-atlassian-confluence">Back to Top</a>

Priority studies to annotate

These may change over time depending on topics to be coved in rapid reviews.

Highest Priority

Intervention Assignment: Randomised and:

Any of the following interventions:

  1. Hand cleaning with ash
  2. Convalescent plasma, convalescent serum or convalescent hyperimmune immunoglobulin 
  3. Any intervention in which a core component involves the use of the internet to facilitate video calls or video conferencing through computers, smartphones or tablets
  4. chloroquine, remdesivir, or corticosteroids

Priority 2

Intervention Assignment: Non-randomised or Unclear or Quasi-randomised and:

Any of the following interventions:

  1. Hand cleaning with ash
  2. Convalescent plasma, convalescent serum or convalescent hyperimmune immunoglobulin 
  3. Any intervention in which a core component involves the use of the internet to facilitate video calls or video conferencing through computers, smartphones or tablets
  4. chloroquine, remdesivir, or corticosteroids

Searching the backlog on https://covid-19.cochrane.org/ to identify priority trials

Restrict to Study Type: Interventional

For the specific interventions:

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Duplicate study records

You may come across some duplicate records where the same study has been imported from different sources (e.g. trials registers, pubmed). 

If you find any:

  • insert the study ID adn state 'duplicate' in the MISC 1 field
  • annotate ONLY one record, preferably the published report (jnl article or preprint)

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Topics/vocabulary

  • Before you start annotating please check that the Cochrane Linked Data Vocabulary to determine whether or not terms are available
  • If not available, place your request in the covid19-study-annotation channel in Slack and alert Anna last

Vocabulary notes

Age

A number of studies will state in their inclusion criteria Aged 18 years or older. Please annotate as:

Image Modified

Young Adult 19-24 years or Adult 19-44 years or Middle Aged 45-64 years or Aged 65-79 years or Aged 80 and over 80+ years

Drug combinations

Use the individual drugs with AND

At Risk Of

In some studies the inclusion criteria population is 'At risk of ...' - in this case we do not annotate the condition in the Population but only as an Outcome.


Table of misc. terms and their categories

Table Filter
id1589544995311_-1310814080


PICOTopicDomain TermCategory




I/C

Usual Care

Usual CareOther
I/C

Western Medicine

Usual CarePharmacological
I/C

Symptomatic treatment

Usual CareOther
I/CPlasma (and variants)
Cellular & Gene
I/CNon-convalescent PlasmaBlood PlasmaCellular & Gene
I/CSupport or Supportive Care

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Supportive CareOther
I/CLiberal oxygen therapyHigh DosePharmacological
I/CConservative oxygen therapyLow DosePharmacological
O

Response rate

Therapeutic ResponsePhysiological or clinical
O

Clinical response

Therapeutic ResponsePhysiological or clinical
O

Response to treatment

Therapeutic ResponsePhysiological or clinical
O

Clinical response to treatment

Therapeutic ResponsePhysiological or clinical
O

Response to therapy

Therapeutic ResponsePhysiological or clinical
O

Finding related to therapeutic response

Therapeutic ResponsePhysiological or clinical
O

Complete response

Therapeutic ResponsePhysiological or clinical
O

Blood Routine

Blood TestPhysiological or clinical
OOxygen, ventilation etc (as requirements)
Physiological or clinical

O

Viral Load or Viral Cure

Viral LoadPhysiological or clinical
OOxygen supply, Oxygen Supplementation, Oxygen Independency etc.

Oxygen Supplementation

Physiological or clinical
OHospital or ICU stay/duration of stay/ Admission to ...
Resource use
O2019-nCOVRNA in gargle 2019-nCoV RT-PCRPhysiological or clinical
OVirus negative conversion2019-nCoV RT-PCRPhysiological or clinical
OTime for improvement of respiratory symptoms and signs (and similar)

Clinical Improvement or 

Time to clinical improvement

Physiological or clinical
OTime for temperature improvement (and similar)

Clinical Improvement or 

Time to clinical improvement

Physiological or clinical
OSex-related differences in complicationsSex-related difference AND ComplicationPhysiological or clinical
OBreathing frequencyRate of RespirationPhysiological or clinical
OImmunoglobulin G COVID-19 antibodiesImmunoglobulin G COVID-19 antibodiesPhysiological or clinical
OImmunoglobulin M COVID-19 antibodiesImmunoglobulin M COVID-19 antibodiesPhysiological or clinical
OComplete remission of clinical signs of diseaseClinical resolutionPhysiological or clinical
I/CQuarantineQuarantineBehavioural
ODuration of ICU StayLength of ICU StayResource Use
OPlasma ViscosityPlasma viscosity measurement Physiological or clinical
OSerum TNF-alpha level

Tumour Necrosis Factor Level

Physiological or clinical


Time to ...

Time to Clinical Improvementhttps://data.cochrane.org/concepts/1ZAQeEkwo0cpmW
Time to Clinical Recoveryhttps://data.cochrane.org/concepts/OW7PMP5pAaCBgR
Time to defervescencehttps://data.cochrane.org/concepts/6nyXkn9P8DIPG3
Time to cough Cough
Time to Dyspnea Dyspnea

Time till the virus nucleic acid test goes negative/

Transition time of novel coronavirus nucleic acid"

2019-nCoV RT-PCR


Outcome annotation examples

StudyOutcomeOutcome detailAnnotation
NCT04278963respiratory progressionDefined as: SPO2≤ 93% on room air or PaO2/FiO2≤ 300mmHg and requirement for supplemental oxygen or more advanced ventilator support Hypoxia AND (Oxygen therapy OR mechanical ventilation) - all in the same outcome group

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