A meta-epidemiological study of subgroup analyses in cochrane systematic reviews of atrial fibrillation

Ref ID 506
First Author M. Paquette
Journal SYSTEMATIC REVIEWS
Year Of Publishing 2019
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814034/pdf/13643_2019_Article_1152.pdf
Keywords • Cochrane
• Cardiology
• Pre-specification
• Multiplicity
Problem(s) • Multiplicity of outcomes and lack of pre-specification for outcome reporting
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country Canada
Checklists • AMSTAR 2
Aim To assess the frequency of subgroups prespecified and conducted and report credibility of subgroup effects claimed in Cochrane reviews of atrial fibrillation published in Issue 9 2018. Methodological (AMSTAR 2) quality was also assessed.
Level of Investigation Descriptive
Summary of Findings Most (76.5%) planned pre-specified subgroup analyses, of which 41.2% conducted subgroups. The credibility of subgroups performed was assessed and less than half (43%) represented one of a small number of pre-specified hypothesis and rarely were effects seen within studies (7%). No reviews included details on how covariates were selected, or if statistical considerations necessitated an abbreviated list of covariates from an initial set pre-specified for investigation. Of 5 reviews that reported subgroup effects, only 3 discussed subgroup effects as part of the overall conclusions. None discussed credibility of subgroup effects.
Number of systematic reviews included 17
Number of eligible systematic reviews assessed 39
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description