Systematic reviews methodology and appraisal

13 important questions on Systematic reviews methodology and appraisal

What are some advantages of systematic reviews?

Clear definition of eligibility criteria
Comprehensive search of all potentially relevant studies
Use explicit, reproducible and uniformly applied criteria to select articles
Appraise the risk of bias for each study
Systematicallysynthesise the results of the studies

What are reasons for performing literature reviews?

Too much information available
too reduce bias
Reliable basis for decision making
explore variability
inform and influence research

What types of literature reviews are there?

Quantitative
Qualitative
Mixed methods
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What are the nine steps to conducting a systematic review?

1. Define research question
2. Create plan
3. Search literature for potentially eligible studies
4. Apply eligible criteria to select studies
5. Assess the risk of bias of selected studies
6. Extract data from the selected studies
7. synthesise the data
8. interpret and report results
9. update the review

When do you have possible publication bias?

When you plot the studies, precision of the estimate of the effect against the outcome, it should be in the shape of a funnel. If this is not the case you might suffer from a publication bias

What is important when assessing the found studies for the criteria?

It is done by 2 assessors

What is a big pro about combining samples of several studies?

Sample size increases meaning:
Increases the power of the analysis
Improves the precision of the estimate of the effect

What are the standardised mean differences?

For the same outcome but different measures:

Difference in mean outcome between groups/SD of outcome among participants

What is a fixed effect? what is random effect?

Fixed effect, alle the studies are similar and thus provide identical answers

Random effect: Studies are similar enough, but there are multiple true effects and these are pooled into a single estimated treatment effect

What are four possible effects of systematic review?

Convincing evidence
Inconclusive evidence
Insufficient evidence
No evidence of an effect, evidence of no effect

What are advantages of systematic reviews?

Improve dissemination of research evidence
Hasten the assimilation of research into clinical practice
Assist in clarifying the heterogeneity of conflicting results between studies
Generalisability of the overall finding
guide decision making

What are disadvantages  of systematic reviews?

Publication bias
Low quality primary data
Influence of retrospective knowledge on search criteria

What are two appraisal tools for systematic reviews?

CASP - prognostic
Amstar - systematic reviews

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