同一个主题的重叠系统评论:定量研究的系统文献评论
Shunlong Ou1, Jing Luo2, Qian Jiang1
1Department of Pharmacy, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
系统性审查经常重叠,其中68%显示冗余. 原因包括缺乏协议注册和引用,强调需要强制性注册和透明度来提高证据可靠性.
科学领域:
- 证据综合 证据综合
- 医学研究方法学 医学研究方法学
背景情况:
- 系统性审查的扩散导致了大量的重叠,可能会损害综合证据的可靠性.
- 重叠的系统审查在透明度和方法一致性方面带来了挑战.
研究的目的:
- 调查重叠系统审查的频率和主要原因.
- 确定减轻系统审查冗余性的策略.
主要方法:
- 在PubMed和Embase的系统搜索中 (截至2024年3月4日),根据PRISMA 2020指南,确定了对重叠系统审查的定量研究.
- 来自11项纳入研究的数据在两个研究人员独立选和提取后被描述性地分析.
主要成果:
- 68%的系统评论显示重叠,最多有76篇关于单一主题的评论.
- 只有36%的人引用了先前的研究,9%的人报告了协议注册.
- 关键的重叠原因:未能引用以前的评论 (55%),缺乏协议注册 (27%) 和研究人员激励 (27%) .
结论:
- 由于透明度和方法问题,重叠的系统审查会降低证据的可靠性.
- 建议强制注册协议,明确阐述研究新性,并加强重叠审查.
- 标准化定义,建立更新框架和促进伦理实践对于可靠的证据综合至关重要.
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