DPP-4 inhibitors for the treatment of type 2 diabetes: a methodology overview of systematic reviews

Ref ID 101
First Author J. Ling
Journal ACTA DIABETOLOGICA
Year Of Publishing 2019
URL https://link.springer.com/content/pdf/10.1007/s00592-018-1164-5.pdf
Keywords • Endocrinology
• Risk of bias
• Low reporting quality
• Publication bias
• Grey literature
• Protocols
Problem(s) • Poor consideration of publication bias
• No quality assessment undertaken or reported
• Conflicts of interest or funding of included studies not assessed
• Risk of bias not incorporated into conclusions of review
• Reasons for excluding potentially eligible studies not provided
• No registered or published protocol
• Grey literature excluded
• Low methodological (AMSTAR) quality
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country China
Checklists • AMSTAR 1
• GRADE
Aim To assess the methodological quality of systematic reviews (AMSTAR) of dipeptidyl peptidase-4 inhibitors (DPP4-I) in treating type 2 diabetes mellitus published across several databases from inception to January 2018.
Level of Investigation Descriptive
Summary of Findings Only seven (11.1%) of the 63 included systematic reviews of dipeptidyl peptidase-4 inhibitors for type 2 diabetes mellitus scored more than nine points in AMSTAR. The lowest quality items were “a list of studies (included and excluded)” with only one (1.6%) review fulfilling, followed by the “providing a priori design” item with only four (6.3%) systematic reviews conforming; the next were “the status of publication (gray literature) used as an inclusion criterion item”, with only 18 (28.9%) reviews conforming. Eight studies did not use a quality scoring tool or checklist and nine reviews did not consider the methodological rigor and scientific quality in the analysis and the conclusions of the review. 45.3% of systematic reviews did not assess the likelihood of publication bias. 41 systematic reviews acknowledged potential sources of support and sources of funding.
Number of systematic reviews included 63
Number of eligible systematic reviews assessed 894
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description