Practical experience with overviews of reviews - valuable decision aid or academic exercise?

被引:2
作者
Piso, Brigitte [1 ]
Semlitsch, Thomas [2 ]
Reinsperger, Inanna [1 ]
Breuer, Johanna [1 ]
Kaminski-Hartenthaler, Angela [3 ]
Kien, Christina [3 ]
Thaler, Kylie [3 ]
Siebenhofer, Andrea [2 ,4 ]
机构
[1] Ludwig Boltzmann Inst Hlth Technol Assessment, Garnisongasse 7-20, A-1090 Vienna, Austria
[2] Med Univ Graz, Inst Allgemeinmed & Evidenzbasierte Versorgungsfo, Graz, Austria
[3] Donau Univ Krems, Dept Evidenzbasierte Med & Klin Epidemiol, Krems An Der Donau, Austria
[4] Goethe Univ Frankfurt Main, Inst Allgemeinmed, Frankfurt, Germany
来源
ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN | 2015年 / 109卷 / 4-5期
关键词
Review; umbrella review; overview of reviews; evidence-based medicine; evidence-based practice; methods;
D O I
10.1016/j.zefq.2015.06.007
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The "overview of reviews'' has evolved as a method to aggregate information from systematic reviews. Based on research projects conducted by two Austrian institutions, this article aims to point out methods and perceived strengths and limitations of overviews of reviews and to discuss their application and constraints for different healthcare settings. The six analysed projects differed in their objectives as well as in the corresponding methodology. We identified the following strengths of the overviews of reviews performed: the overview of the evidence base on an issue, the rapid detection of the results of numerous reviews, the demonstration of evidence gaps and potential savings in time and resources. At the same time, the methodology could lead to a loss of information, limited relevance and to uncertainties regarding the robustness of the overall results. However, the heterogeneity of the methods used shows that the development of methods for overviews of reviews is still ongoing. Whether overviews of reviews provide valuable decision support depends on the research question and realistic expectations towards the method.
引用
收藏
页码:300 / 308
页数:9
相关论文
共 34 条
[1]   Seventy-Five Trials and Eleven Systematic Reviews a Day: How Will We Ever Keep Up? [J].
Bastian, Hilda ;
Glasziou, Paul ;
Chalmers, Iain .
PLOS MEDICINE, 2010, 7 (09)
[2]  
Breuer J, 2014, AKUPUNKTUR EINSATZGE
[3]  
Breuer J, 2013, ERGOTHERAPIE BEI KIN
[4]  
EBM Review Center-Medizinische Universitat Graz, 2013, MAMM BAS BRUST RECH
[5]  
Gartlehner G., 2009, INTERNES MANUAL AB 2, V2
[6]   GRADE:: an emerging consensus on rating quality of evidence and strength of recommendations [J].
Guyatt, Gordon H. ;
Oxman, Andrew D. ;
Vist, Gunn E. ;
Kunz, Regina ;
Falck-Ytter, Yngve ;
Alonso-Coello, Pablo ;
Schuenemann, Holger J. .
BRITISH MEDICAL JOURNAL, 2008, 336 (7650) :924-926
[7]   A Descriptive Analysis of Overviews of Reviews Published between 2000 and 2011 [J].
Hartling, Lisa ;
Chisholm, Annabritt ;
Thomson, Denise ;
Dryden, Donna M. .
PLOS ONE, 2012, 7 (11)
[8]   CONVINCING EVIDENCE FROM CONTROLLED AND UNCONTROLLED STUDIES ON THE LIPID-LOWERING EFFECT OF A STATIN [J].
Higgins, Julian .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (12)
[9]  
Institut fur Qualitat und Wirtschaftlichkeit im Gesundheitswe-sen, 2014, UPD GES GUT PROST
[10]  
Institut fur Qualitat und Wirtschaftlichkeit im Gesundheitswesen, 2014, UPD GES DIAB TYP 2