Liu Jin-yan, Zhao Yu-liang, Zhou Qing-hua, Wu Yu-mei, Zhou Sheng-guo, Zhang Ling, Fu Ping
Division of Nephrology, West China Hospital, Chengdu 610041, China. Email:
Zhonghua Nei Ke Za Zhi. 2013 Oct;52(10):833-7.
To evaluate the standardization of Meta-analyses on nephropathy published in Chinese journals.
By searching in WANFANG, VIP, CNKI databases and Chinese Biomedical Literature Database (CBM) as well as related Chinese journals, eligible Meta-analyses were enrolled and analyzed according to the PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Statement and the MOOSE (Meta-analysis of Observational Studies in Epidemiology) Checklist.
A total of 217 Meta-analyses were enrolled with 166 on randomized controlled trials (RCT) and 51 on observational studies. Based on the PRSIMA Statement, of the 166 Meta-analyses on RCT, 51.8% (86 papers) were found with the complete research hypothesis, 13.9% (23) with the literature screening flow chart, 15.7% (26) with the subgroup analysis, 53.0% (88) with the publication bias analysis and 28.3% (47) with the sensitivity analysis. According to the MOOSE Checklist, of the 51 Meta-analyses on observational studies, only 9.8% (5) had done the statistical stability calculation, 54.9% (28) with the outlook of application, 45.1% (23) with the limitation of the study, 2.0% (1) with the quantitative analysis on potential bias and 17.6% (9) with the suggestion for future studies.
Unclear hypothesis, limited methodological description, lack of in-depth analysis on heterogeneity and bias are the common defects in Meta-analyses published in Chinese journals on nephrology.
评估发表于中文期刊上的肾病领域Meta分析的规范化程度。
通过检索万方、维普、知网数据库以及中国生物医学文献数据库(CBM)和相关中文期刊,纳入符合条件的Meta分析,并依据PRISMA(系统评价与Meta分析优先报告条目)声明和MOOSE(流行病学观察性研究的Meta分析)清单进行分析。
共纳入217篇Meta分析,其中166篇针对随机对照试验(RCT),51篇针对观察性研究。基于PRSIMA声明,在166篇RCT的Meta分析中,51.8%(86篇论文)有完整的研究假设,13.9%(23篇)有文献筛选流程图,15.7%(26篇)有亚组分析,53.0%(88篇)有发表偏倚分析,28.3%(47篇)有敏感性分析。根据MOOSE清单,在51篇观察性研究的Meta分析中,仅9.8%(5篇)进行了统计稳定性计算,54.9%(28篇)有应用前景,45.1%(23篇)有研究局限性,2.0%(1篇)有潜在偏倚的定量分析,17.6%(9篇)有对未来研究的建议。
假设不明确、方法学描述有限、对异质性和偏倚缺乏深入分析是中文期刊发表的肾病领域Meta分析的常见缺陷。