Cochrane Evidence Production and Methods Directorate, Cochrane, London, UK.
Population Health Sciences, University of Bristol Medical School, Bristol, UK.
BMJ Evid Based Med. 2023 Aug;28(4):260-266. doi: 10.1136/bmjebm-2022-112102. Epub 2023 Jan 24.
A systematic review identifies, appraises and synthesises all the empirical evidence from studies that meet prespecified eligibility criteria to answer a specific research question. As part of the appraisal, researchers use explicit methods to assess risk of bias in the results' from included studies that contribute to the review's findings, to improve our confidence in the review's conclusions. Randomised controlled trials included in Cochrane Reviews have used a specific risk of bias tool to assess these included studies since 2008. In 2019, a new version of this tool, Risk of Bias 2 (RoB 2), was launched to improve its usability and to reflect current understanding of how the causes of bias can influence study results. Cochrane implemented RoB 2 in a phased approach, with users of the tool informing guidance development. This paper highlights learning for all systematic reviewers (Cochrane and non-Cochrane) from the phased implementation, highlighting differences between the original version of the tool and RoB 2, consideration of reporting systematic review protocols or full review reports that have used RoB 2, and some tips shared by authors during the pilot phase of the implementation.
系统评价通过识别、评估和综合所有符合既定纳入标准的研究中的经验证据,来回答特定的研究问题。作为评估的一部分,研究人员使用明确的方法来评估纳入研究结果的偏倚风险,以提高我们对系统评价结论的信心。自 2008 年以来,Cochrane 评价中纳入的随机对照试验一直使用特定的偏倚风险工具来评估这些纳入的研究。2019 年,该工具的新版本(RoB 2)推出,以提高其可用性,并反映出目前对偏倚原因如何影响研究结果的理解。Cochrane 分阶段实施 RoB 2,工具使用者为指南制定提供信息。本文重点介绍了从分阶段实施中获得的所有系统评价者(Cochrane 和非 Cochrane)的学习经验,包括工具原始版本和 RoB 2 之间的差异、考虑使用 RoB 2 报告系统评价方案或完整的评价报告,以及作者在实施试点阶段分享的一些技巧。
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