Incorporation of assessments of risk of bias of primary studies in systematic reviews of randomised trials: a cross-sectional study

Ref ID 125
First Author S. Hopewell
Journal BMJ OPEN
Year Of Publishing 2013
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753473/pdf/bmjopen-2013-003342.pdf
Keywords • Non-Cochrane reviews
• Cochrane
• General medical
• Risk of bias
Problem(s) • Meta-analyses and forest plots presented without considering risk of bias / quality
• Limited quality assessment or no risk of bias
• Risk of bias not incorporated into conclusions of review
• Cochrane reviews more rigorous/higher quality than non-Cochrane reviews
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country France
Aim To assess how risk of bias assessments of primary studies are carried out and incorporated into the statistical analysis and overall findings of systematic reviews of randomised trials published between January and March 2012; Cochrane (n=100), non-Cochrane (Database of Reviews of Effects) (n=100).
Level of Investigation Descriptive
Summary of Findings Cochrane reviews routinely reported the method of risk of bias assessment and presented their results either in text or table format, however 20% of non- Cochrane reviews failed to report the method used and 39% did not present the assessment results. However, only 49% (n=40/81) of Cochrane and 20% (n=7/35) of non-Cochrane reviews incorporated the risk of bias assessment into the interpretation of the conclusions.
Number of systematic reviews included 200
Number of eligible systematic reviews assessed 281
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description