从综合到审查:评估麻醉学元分析的质量 (2015-2022)
Jeffrey Turner1, Jai-Kieron Patel2, Kirsty Fraser3
1Anaesthesiology, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Cureus
|September 15, 2025
概括
麻醉学元分析 (MA) 的方法质量在2015-2022年期间保持稳定. 尽管获得许可的出版物增加了,但主要的质量标准,如出版偏差评估和排除研究的报告,显示出持续存在的弱点.
科学领域:
- 麻醉学研究的麻醉学研究.
- 基于证据的医学是基于证据的医学.
- 系统性审查和元分析.
背景情况:
- 超分析 (MA) 对于麻醉学中基于证据的实践至关重要.
- 评估MAs的质量可以确保可靠的临床指导.
- 在MA质量的趋势需要持续评估.
研究的目的:
- 评估2015年至2022年在领先的麻醉学期刊中对元分析的方法质量.
- 为了确定这一时期的MA质量趋势.
- 确定MA方法论中强项和弱项的具体领域.
主要方法:
- 系统搜索六个著名的麻醉学期刊 (2015-2022年).
- 识别和选择元分析.
- 使用Revised-A测量工具评估系统性审查 (R-AMSTAR) 的方法评估,并进行详细的子标准评分.
- 分析了130个随机选择的元分析.
主要成果:
- 总共发表了455个元分析,随着时间的推移,数量越来越多.
- 总体而言,方法质量在2014年后出现了平稳,这与之前的改善趋势相反.
- 在重复的数据提取和研究描述中发现了一致的优势.
- 持续存在的弱点包括研究规划,出版偏差评估和排除研究的报告.
结论:
- 麻醉学元分析的方法质量在2015年至2022年期间稳定.
- 近年来,MA质量预期的改善轨迹没有继续下去.
- 提高透明度和严谨性需要专注的编辑关注和作者培训,特别是关于出版偏见和排除的研究报告.
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