Department of Periodontics, University of Iowa College of Dentistry, Iowa City, IA 52240, USA.
J Periodontol. 2013 Jun;84(6):758-67. doi: 10.1902/jop.2012.120317. Epub 2012 Aug 8.
Critical analysis of published systematic reviews may help in understanding their strengths and weaknesses and identifying areas that need improvement. Short dental implants are becoming an important addition to the existing dental armamentarium. The aim of this overview is to analyze the quality of published systematic reviews focused on short dental implants using established checklists such as the assessment of multiple systematic reviews (AMSTAR).
A search was conducted to retrieve reviews that used a systematic approach in article selection focusing on short dental implants in humans. Based on a set of inclusion and exclusion criteria, a total of 10 reviews were selected. Two independent reviewers appraised the quality of the selected reviews using AMSTAR and the checklist proposed by Glenny et al. in 2003. Each article was given a total score based on the number of criteria that it fulfilled.
Six reviews satisfied ≤4 of the 11 AMSTAR items, and only two reviews satisfied nine of the 11 items. This study shows that published systematic reviews on short dental implants exhibit significant structural and methodological variability. Quality assessment using the Glenny checklist further confirmed the variability in the way systematic reviews were conducted and/or reported. A high correlation was observed between the two checklists' scores.
Uniformity in the way systematic reviews are conducted and/or reported will increase the validity and clinical applicability of future reviews.
对已发表的系统评价进行批判性分析有助于了解其优缺点,并确定需要改进的领域。短种植体已成为现有牙科武器库的重要补充。本综述的目的是使用评估多个系统评价(AMSTAR)等既定清单分析聚焦于短种植体的已发表系统评价的质量。
进行了检索,以查找使用系统方法在文章选择中聚焦于人类短种植体的综述。根据一套纳入和排除标准,共选择了 10 篇综述。两名独立的审查员使用 AMSTAR 和 2003 年 Glenny 等人提出的清单评估所选综述的质量。根据满足的标准数量,为每篇文章赋予一个总分。
有 6 篇综述满足 AMSTAR 11 项标准中的≤4 项,只有 2 篇综述满足 11 项标准。本研究表明,关于短种植体的已发表系统评价显示出显著的结构和方法学变异性。使用 Glenny 清单进行的质量评估进一步证实了系统评价的实施和/或报告方式的变异性。两个清单的得分之间存在高度相关性。
系统评价的实施和/或报告方式的一致性将提高未来综述的有效性和临床适用性。