Publication bias is underreported in systematic reviews published in high-impact-factor journals: metaepidemiologic study

Ref ID 334
First Author A. Onishi
Journal JOURNAL OF CLINICAL EPIDEMIOLOGY
Year Of Publishing 2014
URL https://www.jclinepi.com/article/S0895-4356(14)00274-1/fulltext
Keywords • General medical
• Publication bias
Problem(s) • Poor consideration of publication bias
Article Type Empirical
Article Subtype Meta-epidemiological analysis
First Author Country Japan
Checklists • AMSTAR 1
Aim To assess how often a significant publication bias existed when the assessment of publication bias was not reported in systematic reviews with meta-analyses of interventions and risk/prognostic factors published in the general medical journals with the top 10 impact factors in 2011 and 2012.
Level of Investigation Analytical
Summary of Findings The assessment of publication bias was not reported in 31.0% of included reviews, particularly in reviews without a comprehensive literature search. Of these 36 reviews, seven (19.4%) were found to have a significant publication bias. The original pooled results may have been overestimated by a median of 50.9% if corrected for publication bias. Among the 28 reviews with publication bias including both reviews that did or did not report the assessment of publication bias, seven reviews (25.0%) did not report the presence of publication bias.
Number of systematic reviews included 116
Number of eligible systematic reviews assessed 1773
Treatment impacted Yes
Treatment impacted description
Interpretation impacted Yes
Interpretation impacted description Overestimates of efficacy were found by a median of 50.9% because of publication bias when its assessment was not reported