基于总体审查的牙科系统审查及其缺陷
Saud S Alajmi1, Charles J Goodacre1, Gary Goldstein2
1Advanced Education Program in Implant Dentistry, Loma Linda University School of Dentistry, Loma Linda, California, USA.
概括
最近的牙科综合审查揭示了系统审查的常见缺陷,影响了基于证据的实践. 解决这些质量问题对于牙科的可靠临床决策至关重要.
科学领域:
- 牙科研究
- 基于证据的牙科
- 系统审查
背景情况:
- 基于证据的牙科已经通过各种研究方法进化,最终形成了系统性审查 (SR) 和总体审查 (UR).
- 专用报告综合了多个专用报告的发现,提供了更高水平的证据综合.
- 最近的进展包括关键值评估,以批判性地评估底层SR的质量.
研究的目的:
- 为了回顾和总结最近的牙评论.
- 分析系统性审查的质量,优点和缺点.
- 涵盖各种牙科专业和治疗.
主要方法:
- 在PubMed搜索中,从2022-2024年进行了"总体审查,牙科",对元分析和系统审查进行过.
- 确定了93个UR,其中56个与牙科相关.
- 根据他们的质量评估和学科代表,选出了15个牙科专业单位进行详细总结.
主要成果:
- 十五个选定区域采用了类似的格式,报告基于其包含的SR的结果.
- 总结包括在SR中发现的优点和弱点.
- 在经过审查的区域内发现了常见的SR缺陷.
结论:
- 通过使用AMSTAR2,ROBIS和PRISMA指南等工具来评估SR质量.
- 确定的SR缺陷包括:未注册的方案,不完整的搜索,缺乏排除的研究列表,不充分的方法,未报告的资金/利益冲突,以及未能评估偏见风险.
- 这些发现凸显了改善SR和UR指导方针的需要,对偏差的批判性评估以及对临床应用研究选择中的潜在偏差的认识.
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