Quality of reporting in systematic reviews of adverse events: systematic review

Ref ID 124
First Author L. Zorzela
Journal BMJ : BRITISH MEDICAL JOURNAL
Year Of Publishing 2014
URL http://www.bmj.com/content/348/bmj.f7668.abstract
Keywords • General medical
• Harms
• Cochrane
Problem(s) • Reliance on randomised controlled trials for harms / safety data
• Selective reporting of harms / safety / adverse events / side effects
Number of systematic reviews included 309
Summary of Findings Only 59 of 309 included reviews (19%) included both clinical trials and observational studies. Only observational studies were included in 109 reviews (35%), case series or case reports were included in 24 (7%). Three of 13 Cochrane reviews (23%) included observational studies compared with 165 of 296 DARE reviews (55%). Almost one third of DARE reviews (26%) did not clearly define the adverse events reviewed, nor did they specify the study designs selected for inclusion in their methods section. Almost half of reviews (n=170) did not consider patient risk factors or length of follow-up when reviewing harms of an intervention. Of 67 reviews of complications related to surgery or other procedures, only four (5%) reported professional qualifications of the individuals involved.
Did the article find that the problem(s) led to qualitative changes in interpretation of the results? N/A
Are the methods of the article described in enough detail to replicate the study? No