Arthroscopy. 2017 Oct;33(10):1753-1754. doi: 10.1016/j.arthro.2017.07.002.
Systematic reviews seem overly prevalent and often inconclusive. Yet, well-performed reviews provide powerful answers to clinical questions, whereas the results of a single clinical trial may not be reliably reproducible. Thus, in balance, we rest highly in favor of rigorously performed synthetic studies that stand at the top of the evidence-based medicine hierarchy.
系统评价似乎过于普遍,而且往往没有定论。然而,精心进行的系统评价能够为临床问题提供有力的答案,而单个临床试验的结果可能并不可靠地重现。因此,权衡利弊,我们非常支持在循证医学层级中处于顶尖地位的严格进行的综合研究。