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Adding decision models to systematic reviews: informing a framework for deciding when and how to do so.
François Sainfort1, Karen M Kuntz, Sean Gregory
1Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA. sainfort@umn.edu
Summary
This study highlights the need for a framework to guide the use of decision models with systematic reviews. Developing this framework will improve evidence synthesis and the value of information from future research.
Area of Science:
- Health research synthesis
- Decision modeling in evidence-based practice
Background:
- Systematic reviews are crucial for evidence synthesis.
- Decision models can complement systematic reviews but lack clear guidelines for integration.
Purpose of the Study:
- To develop a framework for integrating decision models into systematic reviews.
- To clarify when and how to conduct modeling studies alongside systematic reviews.
Main Methods:
- Analysis of evidence reports using decision models.
- Synthesis of best practices for decision model development.
- Interviews with stakeholders and expert modelers.
- Focus group with expert modelers.
Main Results:
- Decision models effectively address literature gaps and inform future research value.
- Disagreement exists on whether model outputs constitute evidence; concerns raised about reporting standards.
- Effective communication, presentation, and stakeholder involvement are vital for model use.
Conclusions:
- A framework is needed for using decision models with systematic reviews.
- The study provides foundational information for developing this essential framework.
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