Potential Problems With Systematic Reviews and Meta-Analyses

Ref ID 321
First Author R. J. Gatchel
Journal JOURNAL OF PAIN
Year Of Publishing 2017
URL https://www.jpain.org/article/S1526-5900(16)30237-1/pdf
Keywords Mental health
Pain
Error
Publication bias
Heterogeneity
Low reporting quality
Problem(s) Inadequate analysis of heterogeneity
Poor consideration of publication bias
Errors in study inclusion or omission of relevant studies
Intervention not described / defined
Number of systematic reviews included 1
Summary of Findings The letter highlights concerns with the conduct and interpretation of one systematic review of conservative interventions for nonspecific chronic spinal pain published in 2016. Concerns include omission of potentially relevant trials, misclassification of interventions, considerable methodological heterogeneity and incongruent analyses and failure to adequately consider publication bias.
Did the article find that the problem(s) led to qualitative changes in interpretation of the results? Not Applicable
Are the methods of the article described in enough detail to replicate the study?