Ahn EunJin, Kang Hyun
Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.
Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2018 Apr;71(2):103-112. doi: 10.4097/kjae.2018.71.2.103. Epub 2018 Apr 2.
Systematic reviews and meta-analyses present results by combining and analyzing data from different studies conducted on similar research topics. In recent years, systematic reviews and meta-analyses have been actively performed in various fields including anesthesiology. These research methods are powerful tools that can overcome the difficulties in performing large-scale randomized controlled trials. However, the inclusion of studies with any biases or improperly assessed quality of evidence in systematic reviews and meta-analyses could yield misleading results. Therefore, various guidelines have been suggested for conducting systematic reviews and meta-analyses to help standardize them and improve their quality. Nonetheless, accepting the conclusions of many studies without understanding the meta-analysis can be dangerous. Therefore, this article provides an easy introduction to clinicians on performing and understanding meta-analyses.
系统评价和荟萃分析通过合并和分析针对相似研究主题开展的不同研究的数据来呈现结果。近年来,系统评价和荟萃分析已在包括麻醉学在内的各个领域积极开展。这些研究方法是强大的工具,能够克服进行大规模随机对照试验时的困难。然而,在系统评价和荟萃分析中纳入存在任何偏倚或证据质量评估不当的研究可能会产生误导性结果。因此,已提出各种进行系统评价和荟萃分析的指南,以帮助使其标准化并提高其质量。尽管如此,在不理解荟萃分析的情况下接受许多研究的结论可能是危险的。因此,本文为临床医生提供了一个关于进行和理解荟萃分析的简易介绍。