The fate of urological systematic reviews registered in PROSPERO

Ref ID 34
First Author S. Khaleel
Journal WORLD JOURNAL OF UROLOGY
Year Of Publishing 2019
URL https://link.springer.com/content/pdf/10.1007/s00345-019-03032-x.pdf
Keywords • Multiplicity
• Heterogeneity
• Single reviewer
• Open data
• Protocols
• Urology
Problem(s) • Undocumented or unjustified deviations to the review protocol
• Multiplicity of outcomes and lack of pre-specification for outcome reporting
• Inadequate analysis of heterogeneity
• Unplanned or unjustified subgroup or sensitivity analyses
• Single reviewer / lack of double checking
• Unpublished or "zombie" reviews (the file-drawer effect)
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country United States
Aim To assess the methodological quality and concordance with a priori protocols of urologic systematic reviews registered in PROSPERO up to December 2017.
Level of Investigation Descriptive
Summary of Findings Of the 576 registered urologic systematic reviews, 225 (39.1%) had corresponding full-text publications. Of these, only 40 (17.7%) had updated their PROSPERO entry to indicate review publication. Little over half of published reviews (52.7%) explicitly stated primary outcome(s) that matched the primary outcome of their corresponding PROSPERO protocol. 25.9% failed to define any primary endpoint(s). A majority (82.4%) of protocol authors indicated the intent of performing the literature screening process in duplicate; of these, 91.8% actually did so in the full-text publication. Roughly half (53.2%) of reviews planned to evaluate heterogeneity based on their protocol. Of these, only 57.0% assessed heterogeneity in their final product. Only a third (34.3%) of the protocols had specified whether they intended to perform a subgroup analysis, and less than half of these protocols (45.2%) were concordant with their planned protocol in this regard.
Number of systematic reviews included 576
Number of eligible systematic reviews assessed 576
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description