借助临床之星在赤道周围开展:干预效果的系统评价;挑战与机遇

Around the EQUATOR With Clin-STAR: Systematic Reviews of Intervention Effectiveness; Challenges and Opportunities.

作者信息

Crocker Thomas F, Todd Oliver, Clegg Andrew

机构信息

Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.

Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.

出版信息

J Am Geriatr Soc. 2025 Aug;73(8):2356-2365. doi: 10.1111/jgs.19498. Epub 2025 May 2.

Abstract

Systematic reviews offer clarity about the effectiveness of interventions based on the best available evidence. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 statement updated previous guidance to ensure transparency in the reporting of systematic reviews of intervention effectiveness. To adhere to the 27 items of PRISMA 2020, aging-focused researchers must specify the choice of age-based criteria for the review, comprehensively identify studies, select the most important outcomes that will therefore be collected, define the effect measures (e.g., odds ratio), describe investigations of the causes of heterogeneity (e.g., different settings), assess and report the risk of bias including blinding of participants and missing outcome data for results that contribute to each meta-analysis, and discuss the implications of the findings for practice, which will often include some uncertainty. This article provides guidance on overcoming the specific challenges faced by aging-focused researchers in transparently reporting a systematic review.

摘要

系统评价基于现有最佳证据,阐明干预措施的有效性。《系统评价与Meta分析的首选报告项目》(PRISMA)2020声明更新了先前的指南,以确保在报告干预效果的系统评价时保持透明度。为了遵循PRISMA 2020的27项要求,专注于衰老研究的人员必须明确审查中基于年龄标准的选择,全面识别研究,选择因此将收集的最重要结果,定义效应量度(如比值比),描述异质性原因的调查(如不同环境),评估并报告偏倚风险,包括参与者的盲法和各Meta分析结果中缺失的结局数据,并讨论研究结果对实践的影响,这通常会包含一些不确定性。本文提供了关于克服专注于衰老研究的人员在透明报告系统评价时所面临的特定挑战的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f3e/12396174/250fb4225943/JGS-73-2356-g001.jpg

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