Literature DB >> 26151664

Use of quality assessment tools in systematic reviews was varied and inconsistent.

Jadbinder Seehra1, Nikolaos Pandis2, Despina Koletsi3, Padhraig S Fleming4.   

Abstract

OBJECTIVES: To assess the use of quality assessment tools among a cross-section of systematic reviews (SRs) and to further evaluate whether quality was used as a parameter in the decision to include primary studies within subsequent meta-analysis. STUDY DESIGN AND
SETTING: We searched PubMed for SRs (interventional, observational, and diagnostic) published in Core Clinical Journals between January 1 and March 31, 2014.
RESULTS: Three hundred nine SRs were identified. Quality assessment was undertaken in 222 (71.8%) with isolated use of the Cochrane risk of bias tool (26.1%, n = 58) and the Newcastle-Ottawa Scale (15.3%, n = 34) most common. A threshold level of primary study quality for subsequent meta-analysis was used in 12.9% (40 of 309) of reviews. Overall, fifty-four combinations of quality assessment tools were identified with a similar preponderance of tools used among observational and interventional reviews. Multiple tools were used in 11.7% (n = 36) of SRs overall.
CONCLUSION: We found that quality assessment tools were used in a majority of SRs; however, a threshold level of quality for meta-analysis was stipulated in just 12.9% (n = 40). This cross-sectional analysis provides further evidence of the need for more active or intuitive editorial processes to enhance the reporting of SRs.
Copyright © 2016 Elsevier Inc. All rights reserved.

Keywords:  Meta-analysis; Quality assessment; Review; Risk of bias; Systematic; Threshold

Mesh:

Year:  2015        PMID: 26151664     DOI: 10.1016/j.jclinepi.2015.06.023

Source DB:  PubMed          Journal:  J Clin Epidemiol        ISSN: 0895-4356            Impact factor:   6.437


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