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Logo of bmjThis ArticleThe BMJ
BMJ. 2008 Apr 12; 336(7648): 797.
PMCID: PMC2292321
PMID: 18403532

UK doctors show most interest in falls among elderly people, but French more curious about type 2 diabetes

The care of elderly people and prevention of obesity in children seem to be prompting the most interest in health research at the moment.

Preventing falls in elderly people and obesity in children were the two most commonly accessed reviews worldwide from the Cochrane Library in 2007.

A new analysis of the 20 most viewed items from the Cochrane Database of Systematic Reviews also shows big differences between countries. In India the most popular review was of β blockers for hypertension; in France it was for type 2 diabetes.

More than half the world’s consumers and health professionals have free access or access funded by an institution or government to Cochrane evidence, and the Cochrane Database of Systematic Reviews holds 5171 reviews. In 2007 there were 4 036 752 individual visits and 2 603 210 full text downloads.

An analysis of 2007 data shows that the most accessed reviews, after falls among elderly people and child obesity, were of β blockers for high blood pressure followed by low glycaemia index diets for overweight and obesity and nicotine receptor partial agonists for smoking cessation.

In the United Kingdom the top three reviews were the same as the global ranking except that interventions to improve hand hygiene were in third place. In the United States the top three reviews were obesity in children, falls among elderly people, and nicotine receptor partial agonists for smoking cessation.

In India the top five reviews were β blockers for hypertension, diacerein for osteoarthritis, exercises for mechanical neck disorders, physiotherapy treatment after stroke, and physical therapy interventions for shoulder pain.

Falls among elderly people was the most viewed review in Australia, followed by paracetamol for treating fever in children; interventions for preventing obesity in children; cognitive behaviour therapy for anxiety disorders in children and adolescents; and low glycaemic index or low glycaemic load diets for overweight and obesity.

In China, the top three accessed reviews were reports from the Cochrane Renal Group, Cochrane Hepato-Biliary Group, and the Cochrane Metabolic and Endocrine Disorders Group.

Another, short term analysis, based on the number of pages viewed in the past 30 days, shows that worldwide, cranberries for preventing urinary tract infections was the most accessed review followed by vitamin C for colds prevention.

Global top 20

  • (1) Interventions for preventing falls among elderly people

  • (2) Interventions for preventing obesity in children

  • (3) β blockers for hypertension

  • (4) Low glycaemic index or low glycaemic load diets for overweight and obesity

  • (5) Nicotine receptor partial agonists for smoking cessation

  • (6) Support surfaces for pressure ulcer prevention

  • (7) Interventions to improve hand hygiene compliance in patient care

  • (8) Vitamin C for preventing and treating the common cold

  • (9) Rosiglitazone for type 2 diabetes mellitus

  • (10) Exercise therapy for treatment of non-specific low back pain

  • (11) Interventions for improving adherence to drugs

  • (12) Physiotherapy treatment approaches and lower limb function after stroke

  • (13) Physiotherapy interventions for shoulder pain

  • (14) Exercise for overweight or obesity

  • (15) Screening for breast cancer with mammography

  • (16) Nicotine replacement therapy for smoking cessation

  • (17) Early skin to skin contact for mothers and their healthy newborn infants

  • (18) Continuous support for women during childbirth

  • (19) Glucosamine therapy for treating osteoarthritis

  • (20) Pulmonary rehabilitation for chronic obstructive pulmonary disease


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