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系统评价解读:AMSTAR——如何区分优劣与糟粕。

Systematic reviews explained: AMSTAR-how to tell the good from the bad and the ugly.

作者信息

Sharif Mohammad O, Janjua-Sharif Fyeza N, Ali Hesham, Ahmed Farooq

机构信息

National Institute for Health Research, Academic Clinical Fellow -Orthodontics, The University of Manchester, Manchester M13 9PL, UK.

出版信息

Oral Health Dent Manag. 2013 Mar;12(1):9-16.

PMID:23474576
Abstract

Systematic reviews are essential in summarising evidence and providing an indication of its strength and direction. This is why they often inform clinical decision making. Although the quantity of reviews published is increasing, concerns about their quality may sometimes be questioned. This paper highlights the aspects of systematic review methodology that influence a review's overall quality. The authors explain the recently developed tool "Assessment of Multiple Systematic Reviews" (AMSTAR) to demonstrate how this can be used efficiently, allowing a busy clinician to evaluate quality and decide whether or not a particular review should be used to inform their clinical practice. Systematic reviews may allow clinicians to incorporate the best available evidence into clinical practice. The ability to evaluate the quality and reliability of systematic reviews is imperative in this process. The authors have used items detailed in AMSTAR to demonstrate the aspects of systematic review methodology that influence the overall quality of a review.

摘要

系统评价对于总结证据以及表明其强度和方向至关重要。这就是它们常常为临床决策提供依据的原因。尽管已发表的评价数量在增加,但有时对其质量的担忧可能会受到质疑。本文强调了影响系统评价整体质量的系统评价方法学方面。作者解释了最近开发的工具“多个系统评价评估”(AMSTAR),以展示如何有效使用该工具,使忙碌的临床医生能够评估质量,并决定是否应使用特定的评价来指导其临床实践。系统评价可能使临床医生能够将最佳可得证据纳入临床实践。在此过程中,评估系统评价的质量和可靠性的能力至关重要。作者使用AMSTAR中详细列出的条目来展示影响评价整体质量的系统评价方法学方面。

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