Grillo Ricardo, Borba Alexandre Meireles, da Silva Yuri Slusarenko, Brozoski Mariana Aparecida, Miloro Michael, Naclério-Homem Maria da Graça
Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis-Faculty of Dentistry of the University of São Paulo, Brazil; Department of Oral and Maxillofacial Surgery, Faculdade Patos de Minas, Brasília, Brazil.
Research Program in Integrated Dental Sciences Department, Faculty of Dentistry of the University of Cuiabá, Cuiabá-MT, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2024 Feb;137(2):101-112. doi: 10.1016/j.oooo.2023.07.018. Epub 2023 Jul 28.
We analyzed the quality and quantity of systematic reviews (SRs) of orthognathic surgery, the most frequently published topic in maxillofacial surgery.
We searched the PubMed database for SRs of orthognathic surgery with no restriction on the language of publication date. We assessed the certainty of evidence presented according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol and the Leiden Manifesto using the Grading of Recommendations Assessment, Development, and Evaluation approach. We analyzed the data using descriptive statistics, Pearson´s correlation test, and linear regression.
Of the 171 SRs evaluated, approximately one fifth presented evidence with a high level of certainty. The number of orthognathic surgery SRs has been increasing, and many SRs were published after very similar topics had already been published. There is no relationship between the impact factor and the certainty of evidence.
An excessive number of SRs of orthognathic surgery are published, and many SRs are superfluous, simply reporting previous findings. Clinicians should not base treatment decisions solely on the evidence presented in SRs, and journal editors and reviewers should evaluate these SRs more critically, particularly when they address topics that have already been covered in the literature.
我们分析了正颌外科系统评价（SRs）的质量和数量，正颌外科是颌面外科中发表频率最高的主题。
我们在PubMed数据库中检索正颌外科的SRs，对发表日期的语言没有限制。我们根据系统评价和Meta分析方案的首选报告项目指南以及莱顿宣言，采用推荐分级评估、发展和评价方法评估所呈现证据的确定性。我们使用描述性统计、Pearson相关检验和线性回归分析数据。
在评估的171篇SRs中，约五分之一呈现出高度确定性的证据。正颌外科SRs的数量一直在增加，许多SRs是在非常相似的主题已经发表之后才发表的。影响因子与证据的确定性之间没有关系。
发表的正颌外科SRs数量过多，许多SRs是多余的，只是简单地报告以前的研究结果。临床医生不应仅根据SRs中呈现的证据做出治疗决策，期刊编辑和审稿人应更严格地评估这些SRs，特别是当它们涉及文献中已经涵盖的主题时。
