Overall bias methods and their use in sensitivity analysis of Cochrane reviews were not consistent

Ref ID 345
First Author A. Babic
Journal JOURNAL OF CLINICAL EPIDEMIOLOGY
Year Of Publishing 2019
URL https://www.sciencedirect.com/science/article/abs/pii/S0895435619308145
Keywords • Risk of bias
• Cochrane
• General medical
Problem(s) • Meta-analyses and forest plots presented without considering risk of bias / quality
• Flawed risk of bias undertaken
• Weaknesses identified in some Cochrane reviews
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country Croatia
Aim To assess methods of assessing ‘‘overall bias’’ in Cochrane reviews of interventions published from July 2015 to June 2018 in the Cochrane Database of Systematic Reviews and to assess sensitivity analyses related to overall risk of bias.
Level of Investigation Descriptive
Summary of Findings 28% of included Cochrane reviews mentioned assessment of overall risk of bias at study level. In 26% of reviews, authors clearly specified key domains that determined the overall risk of bias, whereas in the remaining reviews, assessment of overall bias was not in line with the Cochrane Handbook. Among 28% of Cochrane reviews that had any risk of bias-related sensitivity analysis, in 21% of reviews, the authors reported a significant change for at least one outcome compared with the initial analysis.
Number of systematic reviews included 1452
Number of eligible systematic reviews assessed 1452
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description