Why are Cochrane hepato-biliary reviews undervalued by physicians as an aid for clinical decision-making?

Ref ID 228
First Author L. Pagliaro
Journal DIGESTIVE & LIVER DISEASE
Year Of Publishing 2010
URL https://www.dldjournalonline.com/article/S1590-8658(09)00294-1/pdf
Keywords • Cochrane
• External validity
• Gastroenterology
• Stakeholder
• Expertise
• Overlapping reviews/redundancy
Problem(s) • Redundant / overlapping / duplicated review question; leads to research waste
• Inflexible methods to complex questions
• Overly stringent inclusion criteria affecting external validity
• Unwieldy/ difficult to read
• Lack of clinical expert/ stakeholder/ user perspective
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country Italy
Aim To assess whether the characteristics of the Cochrane hepato-biliary systematic reviews can account for their apparent scant use by physicians.
Level of Investigation Descriptive
Summary of Findings The authors concluded that the 87 Cochrane hepato-biliary reviews contained six empty reviews which found no eligible randomised trials and six found one trial, precluding a systematic review; with some empty reviews investigating irrelevant topics. Twenty-one reviews investigated outdated interventions, and thirteen of them were posted ten or more years after the publication of the most recent trial included. Most reviews were too lengthy (median: 40 pages) and their consultation was time-consuming with respect to clinical content. They generally compared two treatments, disregarding other options, and usually did not report any non-randomised (although convincing) evidence of potential use in clinical decision-making.
Number of systematic reviews included 87
Number of eligible systematic reviews assessed 87
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description