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Systematic reviews addressing microsurgical head and neck reconstruction
Arash Momeni1, Joshua Y Jacobson, Gordon K Lee
1From the *Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, California; and †Albert Einstein College of Medicine, New York, New York.
The Journal of Craniofacial Surgery
|December 6, 2014
Summary
Systematic reviews in head and neck microsurgery are increasing, but their quality remains fair. Methodological improvements are needed to ensure reliable clinical decision-making and guideline development in this surgical field.
Area of Science:
- Microsurgery
- Head and Neck Surgery
- Evidence-Based Medicine
Background:
- Systematic reviews are crucial for clinical decisions and guidelines.
- Variable quality of systematic reviews raises concerns about their validity.
- This study analyzes the quality of systematic reviews in head and neck microsurgery.
Purpose of the Study:
- To assess the quality of systematic reviews in microsurgical head and neck reconstruction.
- To identify trends in the publication and quality of these reviews over time.
Main Methods:
- A comprehensive PubMed search identified systematic reviews up to December 2012.
- Two authors independently reviewed and extracted data from eligible reviews.
- The Assessing the Methodological Quality of Systematic Reviews (AMSTAR) tool was used for quality assessment.
Main Results:
- Fifteen systematic reviews were included in the final analysis.
- A notable increase in published systematic reviews was observed.
- The median AMSTAR score indicated "fair" quality, with no significant improvement over time.
Conclusions:
- The growing number of systematic reviews in head and neck microsurgery is positive.
- Enhancing the methodological rigor of these reviews is essential.
- Understanding quality assessment criteria is critical for future improvements.
