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骨科期刊系统评论的流行病学和报告特征:一项超流行病学研究
Norio Yamamoto1,2,3, Shunsuke Taito3,4, Takanori Miura3,5
1Department of Orthopedic Surgery, Hashimoto Hospital, Mitoyo 768-0103, Japan.
Journal of clinical medicine
|November 25, 2023
概括
骨科系统审查 (SRs) 往往缺乏严格的方法和完整的报告,导致潜在的有偏见的证据. 需要改进搜索策略,偏见评估和报告,以提高骨科研究结果的可靠性.
科学领域:
- 整形外科 整形外科 整形外科
- 基于证据的医学是基于证据的医学.
- 科学出版业的科学出版.
背景情况:
- 系统性审查 (SRs) 对于骨科的基于证据的决策至关重要.
- 缺少整形外科SR的流行病学和报告特征的全面分析.
- 在SR中,不完整的报告和方法的严格性会导致偏见的建议.
研究的目的:
- 评估骨科期刊中SRs的流行病学和报告特征.
- 评估对报告准则的遵守情况以及骨科SR中标准方法的使用情况.
- 确定骨科SR的质量和可靠性的改进领域.
主要方法:
- 2012年和2022年在骨科期刊上发表的360个SR的系统分析.
- 流行病学特征的检查:重点领域,元分析 (MA) 类型.
- 报告特征的评估:协议注册,搜索策略,出版偏见,偏见风险,证据的确定性.
主要成果:
- 大多数SR (71%) 专注于治疗,美国,英国和中国的贡献很大.
- 协议登记有所改善,但仍然很低 (33%);声明遵守指南 (68%),但没有完全实施.
- 不充分使用完整的搜索策略 (10%),出版偏差评估有限,以及证据评估的偏差风险和确定性不足.
结论:
- 骨科SR中标准方法的使用和报告仍然不足于最佳水平.
- 需要加强方法论和报告的严格性,以减少偏见.
- 作者,同行评审,编辑和读者必须批判性地评估骨科SR,以提高研究质量.
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