Graduate School of Social Work and Social Research, Bryn Mawr College, Bryn Mawr, PA, USA.
Department of Epidemiology & Biostatistics, School of Public Health, Texas A&M University, College Station, TX, USA.
Syst Rev. 2022 Jul 18;11(1):145. doi: 10.1186/s13643-022-01998-1.
Many published reviews do not meet the widely accepted PRISMA standards for systematic reviews and meta-analysis. Campbell Collaboration and Cochrane reviews are expected to meet even more rigorous standards, but their adherence to these standards is uneven. For example, a newly updated Campbell systematic review of school-based anti-bullying interventions does not appear to meet many of the Campbell Collaboration's mandatory methodological standards.
In this commentary, we document methodological problems in the Campbell Collaboration's new school-based anti-bullying interventions review, including (1) unexplained deviations from the protocol; (2) inadequate documentation of search strategies; (3) inconsistent reports on the number of included studies; (4) undocumented risk of bias ratings; (5) assessments of selective outcome reporting bias that are not transparent, not replicable, and appear to systematically underestimate risk of bias; (6) unreliable assessments of risk of publication bias; (7) use of a composite scale that conflates distinct risks of bias; and (8) failure to consider issues related to the strength of the evidence and risks of bias in interpreting results and drawing conclusions. Readers who are unaware of these problems may place more confidence in this review than is warranted. Campbell Collaboration editors declined to publish our comments and declined to issue a public statement of concern about this review.
Systematic reviews are expected to use transparent methods and follow relevant methodological standards. Readers should be concerned when these expectations are not met, because transparency and rigor enhance the trustworthiness of results and conclusions. In the tradition of Donald T. Campbell, there is need for more public debate about the methods and conclusions of systematic reviews, and greater clarity regarding applications of (and adherence to) published standards for systematic reviews.
许多已发表的综述不符合广泛接受的系统评价和荟萃分析 PRISMA 标准。坎贝尔协作组和 Cochrane 综述预计将符合更严格的标准,但它们对这些标准的遵守程度参差不齐。例如,坎贝尔协作组织最近更新的一项关于基于学校的反欺凌干预措施的系统评价似乎不符合许多坎贝尔协作组织强制性方法学标准。
在这篇评论中,我们记录了坎贝尔协作组织新的基于学校的反欺凌干预措施综述中的方法学问题,包括(1)未解释的偏离方案;(2)搜索策略记录不充分;(3)对纳入研究数量的不一致报告;(4)未记录偏倚风险评估;(5)选择性结果报告偏倚的评估不透明、不可复制,并且似乎系统地低估了偏倚风险;(6)不可靠的发表偏倚风险评估;(7)使用混淆不同偏倚风险的综合量表;以及(8)未能考虑与证据强度和偏倚风险相关的问题,以解释结果和得出结论。不了解这些问题的读者可能会对这篇综述给予过高的信任。坎贝尔协作组织的编辑拒绝发表我们的评论,也拒绝就这篇综述发表关注声明。
系统评价应使用透明的方法并遵循相关的方法学标准。当这些期望未得到满足时,读者应感到担忧,因为透明度和严谨性增强了结果和结论的可信度。秉承唐纳德·T·坎贝尔的传统,需要就系统评价的方法和结论进行更多的公开辩论,并更加明确系统评价标准的应用(和遵守)。