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Journal of Chinese Integrative Medicine ›› 2008, Vol. 6 ›› Issue (4): 337-339.doi: 10.3736/jcim20080402

• Editorial • Previous Articles     Next Articles

How to assess the quality of systematic review and meta-analysis

Jun-hua Zhang1,2, Hong-cai Shang1,2, Bo-li Zhang2()   

  1. 1. Evidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
    2. Research Center of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
  • Received:2008-01-06 Online:2008-04-20 Published:2008-04-15
  • Contact: ZHANG Bo-li E-mail:tjzyxy@126.com

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Evidence-based medicine advocates that decision making should be based on the adequate evidence. High quality systematic review is an important source of information for clinicians, patients, governments and other decision makers in decision making. If reviewers couldn't master the correct method of systematic review or meta-analysis was misused, the inaccurate, biased or misleading outcomes would be produced. So understanding of the methods of evaluating the quality of systematic review and meta-analysis is helpful to make good use of the review's information.

Key words: systematic review, meta analysis, quality assessment, health care

CLC Number: 

  • R-3

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条目 描述
1 是否报告资料收集方法?
2 检索策略是否全面?
3 是否报告纳入和排除标准?
4 如何避免资料选择偏倚?
5 是否报告对纳入研究进行真实性评价的标准?
6 对纳入研究的质量评价是否全面、恰当?
7 是否报告数据合并的方法?
8 数据合并是否合适?
9 评价者结论是否基于研究的数据和具体情况?
10 你认为此系统评价质量如何?

"

分类 条目
1前期设计 a. 研究计划书
b. 文献检索
c. 列出要进行分析的研究
d. 排除文献记录
e. 研究中治疗的分配方案
f. 患者特征范围
g. 治疗范围
h. 诊断标准
2数据可合并性 a. 数据合并的条件
b. 异质性检验和模型的选择
3偏倚的控制 a. 选择性偏倚
b. 数据提取偏倚
c. 不同评价员间的一致性检验
d. 资助来源
4统计分析 a. 统计方法
b. 统计误差
c. 可信区间
d. 亚组分析
5敏感性分析 a. 质量评价
b. 改变分析方法
c. 发表偏倚
6结果应用 a. 结论
b. 经济性分析
[1] Sackett DL, Straus SE, Richardson WS , et al. Evidence-based medicine: how to practice and teach EBM(2nd ed)[M]. London: Churchill-Livingstone, 2000,( 2nd ed):1-50
[2] Jadad AR, Cook DJ, Jones A , et al. Methodology and reports of systematic reviews and meta-analyses: a comparison of Cochrane reviews with articles published in paper-based journals[J]. JAMA, 1998,280(3):278-280
doi: 10.1001/jama.280.3.278
[3] . Sunny Downstate Medical Center.Guide to research methods—the evidence pyramid(
[4] Oxman AD . Checklists for review articles[J]. BMJ, 1994,309(6955):648-651
doi: 10.1136/bmj.309.6955.648
[5] Senn S . The quality of systematic reviews. Review is biased[J]. BMJ, 2000,321(7256):297
doi: 10.1136/bmj.321.7256.297
[6] Sacks H, Berrier J, Reitman D , et al. Meta-analyses of randomized controlled trials[J]. N Engl J Med, 1987,316(8):450-455
doi: 10.1007/978-3-319-55895-0_6 pmid: 3807986
[7] Sacks HS, Reitman D, Pagano D , et al. Meta-analysis: an update[J]. Mt Sinai J Med, 1996,63(3-4):216-224
[8] Sun FH, Wei SY, Xu ZM , et al. Quality evaluation of meta-analysis for randomized controlled trials[J]. Yao Wu Liu Xing Bing Xue Za Zhi, 2002,11(1):31-36
doi: 10.3969/j.issn.1005-0698.2002.01.012
孙福红, 魏水易, 许自明 , 等. 随机对照试验Meta分析的质量评价[J]. 药物流行病学杂志, 2002,11(1):31-36
doi: 10.3969/j.issn.1005-0698.2002.01.012
[9] Jadad AR, Moher M, Browman GP , et al. Systematic reviews and meta-analyses on treatment of asthma: critical evaluation[J]. BMJ, 2000,320(7234):537-540
doi: 10.1136/bmj.320.7234.537
[10] Altman DG, Decks JJ, Clarke M , et al. The quality of systematic reviews. High quality reporting of both randomised trials and systematic reviews should be priority[J]. BMJ, 2000,321(7256):297
doi: 10.1136/bmj.321.7256.297
[11] Moher D, Jadad AR, Nichol G , et al. Assessing the quality of randomized controlled trials: an annotated bibliography of scales and checklists[J]. Control Clin Trials, 1995,16(1):62-73
doi: 10.1016/0197-2456(94)00031-W
[12] Moher D, Cook DJ, Eastwood S , et al. Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Quality of Reporting of Meta-analyses[J]. Lancet, 1999,354(9193):1896-1900
doi: 10.1016/S0140-6736(99)04149-5
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