报告偏见在系统审查和元分析中是非常普遍的,这些分析与中部骨关节重建有关
Kenneth T Nguyen1, Erin L Brown1, William C Rittmeyer1
1Tulane University School of Medicine, New Orleans, Louisiana, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|January 26, 2026
概括
报告偏差,或旋转,在中侧骨带重建 (MPFLR) 的系统审查中普遍存在,近90%的摘要显示旋转. 由AMSTAR 2评级显示的研究质量低,与这种偏差相关,表明MPFLR疗效过度夸大.
科学领域:
- 整形外科 整形外科 整形外科
- 生物医学工程 生物医学工程
- 基于证据的医学 基于证据的医学
背景情况:
- 中部骨带重建 (MPFLR) 是一种常见的手术程序.
- 系统性审查和元分析对于综合MPFLR结果的证据至关重要.
- 报告偏见,特别是"旋转",可以扭曲干预措施的感知有效性.
研究的目的:
- 评估有关MPFLR的系统审查和元分析中报告偏差 (旋转) 的流行率和类型.
- 通过AMSTAR 2工具评估这些系统性审查的质量.
- 在MPFLR文献中识别与旋转存在和类型相关的因素.
主要方法:
- 从主要数据库 (PubMed,科学网,Embase) 中确定了MPFLR的系统审查.
- 对15种预定义的旋转类型进行了摘要分析.
- 通过测量工具来评估系统性审查2 (AMSTAR 2) 检查清单来评估研究质量.
- 使用了统计分析,包括t测试,ANOVA,费舍尔测试和斯皮尔曼相关性.
主要成果:
- 在包括的57项研究中,89.5% (51/57) 在摘要中表现出旋转.
- 最常见的是5,3和9型脊柱,分别在84.2%,56.1%和52.6%的研究中观察到.
- 在AMSTAR 2分数和旋转存在 (P < .01) 之间发现了显著的负相关性.
- 超过91%的研究获得了非常低的AMSTAR 2评级,这表明方法质量不佳.
结论:
- 对MPFLR的系统审查经常包含报告偏差 (旋转).
- 旋转的高患病率,加上研究质量极低 (AMSTAR 2评级),表明MPFLR有效性被夸大了.
- 需要进一步的研究和遵守报告准则,以提高这一领域证据综合的可靠性.
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