Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Bone Marrow Transplant. 2021 Apr;56(4):786-797. doi: 10.1038/s41409-020-01199-1. Epub 2021 Jan 29.
Systematic reviews apply rigorous methodologies to address a pre-specified, clearly formulated clinical research question. The conclusion that results is often cited to more robustly inform decision-making by clinicians, third-party payers and managed care organizations about the clinical question of interest. While systematic reviews provide a rigorous standard, they may be unfeasible when the task is to create general disease-focused guidelines comprised of multiple clinical practice questions versus a single major clinical practice question. Collaborating transplantation and cellular therapy societal committees also recognize that the quantity and or quality of reference sources may be insufficient for a meaningful systematic review. As the conduct of systematic reviews has evolved over time in terms of grading systems, reporting requirements and use of technology, here we provide current guidance in methodologies, resources for reviewers, and approaches to overcome challenges in conducting systematic reviews in transplantation and cellular therapy.
系统评价采用严格的方法来解决预先规定的、明确制定的临床研究问题。研究结果的结论经常被引用,以更有力地为临床医生、第三方支付者和管理式医疗组织提供关于感兴趣的临床问题的决策依据。虽然系统评价提供了一个严格的标准,但当任务是创建由多个临床实践问题组成的一般疾病为重点的指南,而不是单一的主要临床实践问题时,它们可能不可行。合作的移植和细胞治疗社会委员会也认识到,对于有意义的系统评价,参考资料的数量和(或)质量可能不足。随着系统评价在分级系统、报告要求和技术使用方面的发展,在这里我们提供了当前在移植和细胞治疗中进行系统评价的方法学、评审员资源以及克服挑战的方法的指导。