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Systematic review adherence to methodological or reporting quality.

Kusala Pussegoda1, Lucy Turner1, Chantelle Garritty1,2

  • 1Ottawa Methods Centre, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Centre for Practice-Changing Research, Ottawa, ON, Canada.

Systematic Reviews
|July 20, 2017
PubMed
Summary
This summary is machine-generated.

Systematic reviews (SRs) show inconsistent adherence to reporting guidelines like PRISMA and quality tools such as AMSTAR. Improved mechanisms are needed to enhance the methodological quality and reporting standards of SRs for better evidence-based healthcare.

Keywords:
Guideline adherenceMethodological qualityReporting qualitySystematic reviews

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Area of Science:

  • Health Sciences
  • Medical Research
  • Evidence-Based Practice

Background:

  • Systematic reviews (SRs) are crucial for evidence-based healthcare.
  • Assessing the methodological and reporting quality of SRs is essential to reduce research waste.
  • The prevalence of SRs necessitates consistent quality standards.

Purpose of the Study:

  • To evaluate SR adherence to PRISMA and QUOROM reporting guidelines.
  • To assess SR adherence to AMSTAR and OQAQ quality assessment tools.
  • To identify areas for improvement in SR methodology and reporting.

Main Methods:

  • Searched Cochrane Library, MEDLINE, and EMBASE from 1990-2014.
  • Included reports evaluating PRISMA, QUOROM, OQAQ, or AMSTAR in SRs.
  • Analyzed data using frequencies and percentages of reports and SRs.

Main Results:

  • Over 85% of PRISMA-guided SRs provided a rationale, but less than 6% included protocol information.
  • Only 9% of QUOROM-guided SRs provided a trial flow diagram.
  • AMSTAR-guided SRs showed varied adherence, with 30% using duplicate selection but 80% reporting study characteristics. OQAQ-guided SRs had 37% assessing risk of bias.

Conclusions:

  • Despite existing guidelines and tools, SR reporting and methodological quality remain inconsistent.
  • There is a need for improved adherence to established reporting guidelines and quality assessment tools.
  • Enhancing SR quality is critical for reliable evidence-based decision-making.