Quality of systematic reviews on timing of complementary feeding for early childhood allergy prevention

Ref ID 890
First Author U. Matterne
Journal BMC MEDICAL RESEARCH METHODOLOGY
Year Of Publishing 2023
URL https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-023-01899-4
Keywords • Risk of bias
• Paediatrics
• Low reporting quality
• Non-Cochrane reviews
• Pre-specification
• Disclosure
Problem(s) • Lack of prespecification in eligibility criteria
• Reasons for excluding potentially eligible studies not provided
• Incorrect interpretation or statistical inference error from meta-analysis
• Conflicts of interest or funding of included studies not assessed
• Low methodological (AMSTAR) quality
• High risk of bias (ROBIS)
• Errors in effect estimate calculations or data synthesis
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country Germany
Checklists • AMSTAR 2
Aim To examine the methodological quality, risk of bias and reporting quality of Systematic Reviews that synthesised interventional studies on the effects of earlier versus later introduction of complementary feeding on the incidence of allergy/allergic disease in infants and children.
Level of Investigation Descriptive
Summary of Findings From twelve systematic reviews of the effects of earlier versus later introduction of complementary feeding on the incidence of allergy/allergic disease in infants and children indexed across PubMed, Medline (Ovid), and Web of Science Core Collection on 13th January 2022. Nine of the 12 included systematic reviews (75%) were found to be of critically low to low methodological quality according to AMSTAR-2 and to be at high risk of bias according to ROBIS. Half of the reviews did not provide an adequate explanation of the study designs for inclusion; half did not provide a list of excluded studies and the reasons for exclusion. Nine of the 12 reviews (75%) did not consider funding sources for the included studies. Using ROBIS, only 2 reviews were judged to have specified adequate eligibility criteria; all others were downgraded. Concerns regarding the identification and selection of relevant studies were raised by 8 reviews (66.6%). Nine of the reviews (75%) were found to show major flaws in their synthesis and findings approach.
Number of systematic reviews included 12
Number of eligible systematic reviews assessed 2562
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description