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Quality Regarding the Systematic Reviews in Breast Plastic Surgery
Rafael Alves Tumeh1, Miguel Sabino Neto2, Gabriel Dias Sales2
1Federal University of São Paulo, Rua Botucatu, 720, Vila Clementino, São Paulo, SP, CEP: 04023-062, Brazil. dr.rafaeltumeh@gmail.com.
Aesthetic Plastic Surgery
|February 13, 2023
Summary
The quality of systematic reviews in breast plastic surgery is improving, though methodological enhancements and more randomized trials are needed. This study evaluated 227 reviews using the AMSTAR-2 tool.
Area of Science:
- Plastic Surgery
- Evidence-Based Medicine
- Research Methodology
Background:
- Limited data exists on the quality of systematic reviews (SRs) in breast plastic surgery.
- This study addresses this gap by evaluating the quality of published SRs in the field.
Approach:
- A secondary, observational, and analytical study was conducted.
- Systematic reviews on breast plastic surgery published up to 2020 were identified through CCTR, LILACS, MEDLINE, and SCIELO databases.
- The quality of 227 selected SRs was assessed using the Appraisal Tool for AMSTAR-2 (AMSTAR-2) instrument.
Key Points:
- The median AMSTAR-2 score was 66.2 ± 32.3, indicating variable quality.
- Reviews adhering to PRISMA guidelines demonstrated shorter publication times and higher AMSTAR-2 scores.
- A trend towards increased publication numbers, higher AMSTAR-2 scores, and decreased impact factors was observed over time.
Conclusions:
- The quality of systematic reviews in breast plastic surgery shows an upward trend.
- Further improvements in methodology and the generation of high-quality randomized clinical trials are essential to enhance the foundation for future systematic reviews in this specialty.

