Replication, Duplication, and Waste in a Quarter Million Systematic Reviews and Meta-Analyses

Ref ID 529
First Author K. C. Siontis
Journal CIRCULATION. CARDIOVASCULAR QUALITY & OUTCOMES
Year Of Publishing 2018
URL https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.118.005212?download=true
Keywords • General medical
• Protocols
• Overlapping reviews/redundancy
Problem(s) • Redundant / overlapping / duplicated review question; leads to research waste
Article Type Editorial
Article Subtype Discussion piece
First Author Country United States
Aim A discussion highlighting problems of overlapping and redundant systematic reviews and meta-analyses, many of which are not registered, which leads to duplicated efforts and research waste. The authors speculate that this may be more common in certain disease areas such as when the condition of interest, is common in the general population; where numerous teams of investigators and clinicians of various specialise in this field worldwide; and where many articles get published. The authors highlight that the number of evidence syntheses far exceeds the number of primary studies in this field and provide example areas.
Level of Investigation Descriptive
Summary of Findings The discussion highlights particular areas where duplication appears pervasive such as: atrial fibrillation where there were eleven overlapping or identical meta-analyses on statin use for cardiac surgery and the authors highlight that the number of MAs in this topic has more than doubled since then, without any new meta-analysis offering something really useful. Additionally in rheumatoid arthritis, 28 network meta-analyses for biological agents were published between 2003 and 2014.
Number of systematic reviews included 1
Number of eligible systematic reviews assessed 1
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description