Quality of systematic reviews in African emergency medicine: a cross-sectional methodological study

Ref ID 1070
First Author J. van Niekerk
Journal AFRICAN JOURNAL OF EMERGENCY MEDICINE
Year Of Publishing 2023
URL https://www-sciencedirect-com.sheffield.idm.oclc.org/science/article/pii/S2211419X2300054X?via%3Dihub
Keywords • Low methodological quality
• Emergency medicine
• Disclosure
Problem(s) • No registered or published protocol
• Low methodological (AMSTAR) quality
• Conflicts of interest or funding of included studies not assessed
• Reasons for excluding potentially eligible studies not provided
• Lack of prespecification in eligibility criteria
• Literature searches not validated by information specialist
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country South Africa
Checklists • AMSTAR 2
Aim To assess the methodological quality of systematic reviews published in African emergency medicine journals and indexed across PubMed, Web of Science and Scopus databases between January 2012 and December 2021 in English or French.
Level of Investigation Descriptive
Summary of Findings This study included 34 African and a random sample of 100 international systematic reviews (SRs) published in African emergency medicine journals and indexed across PubMed, Web of Science and Scopus databases between January 2012 and December 2021 in English or French. Methodological quality was low or critically low for all the African SRs (n=34, 100%) and all but three international SRs (n=97, 97%). Very few reviews in the African journal subgroup included an author with methodological expertise (n=1, 3%) or had librarian assistance (n=3, 9%), or referenced a scoping review (n=0, 0%). The GRADE approach was used infrequently in both the African (n=2, 6%) and international (n=24, 24%) journal groups. More than two-thirds (n=24, 71%) of African systematic reviews did not identify themselves as such in the title. The AMSTAR 2 assessments showed that the most common weaknesses across both African and international systematic reviews were 1) not establishing a priori review protocols (n= 84, 62.6%, 2) unclear selection of study designs (n=130, 97.0%) 3) not providing a list of excluded studies (n=128, 95.5%) and 4) unclear reporting on funding sources for included studies (n=129, 96.2%).
Number of systematic reviews included 134
Number of eligible systematic reviews assessed 5071
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description