Methodological quality of systematic reviews on treatments for depression: a cross-sectional study

Ref ID 107
First Author V. C. H. Chung
Journal EPIDEMIOLOGY & PSYCHIATRIC SCIENCE
Year Of Publishing 2018
URL https://www.cambridge.org/core/services/aop-cambridge-core/content/view/912095F61FBE83211D632B24C5B559AA/S2045796017000208a.pdf/div-class-title-methodological-quality-of-systematic-reviews-on-treatments-for-depression-a-cross-sectional-study-div.pdf
Keywords • Protocols
• Publication bias
• Low reporting quality
• Risk of bias
• Mental health
Problem(s) • Low methodological (AMSTAR) quality
• Risk of bias not incorporated into conclusions of review
• Conflict of interest statement or disclosures for review authors missing
• Reasons for excluding potentially eligible studies not provided
• Poor consideration of publication bias
• No registered or published protocol
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country Hong Kong
Aim To assess the methodological quality of systematic reviews of treatments for depression (AMSTAR) indexed across two databases up to 2017. The associations between bibliographical characteristics and scoring on AMSTAR items were analysed using logistic regression analysis.
Level of Investigation Analytical
Summary of Findings From 358 included systematic reviews of treatments for depression only 112 (31.3%) took the risk of bias among primary studies into account when formulating conclusions; 245 (68.4%) did not fully declare conflict of interests; 93 (26.0%) reported an ‘a priori’ design and 104 (29.1%) provided lists of both included and excluded studies. Results from regression analyses showed: more recent publications were more likely to report ‘a priori’ designs [adjusted odds ratio (AOR) 1.31, 95% confidence interval (CI) 1.09–1.57], to describe study characteristics fully (AOR 1.16, 95% CI 1.06–1.28), and to assess presence of publication bias (AOR 1.13, 95% CI 1.06–1.19), but were less likely to list both included and excluded studies (AOR 0.86, 95% CI 0.81–0.92). SRs published in journals with higher impact factor (AOR 1.14, 95% CI 1.04–1.25), completed by more review authors (AOR 1.12, 95% CI 1.01–1.24) and SRs on non-pharmacological treatments (AOR 1.62, 95% CI 1.01–2.59) were associated with better performance in publication bias assessment.
Number of systematic reviews included 358
Number of eligible systematic reviews assessed 1651
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description