Identifying the 'incredible'! Part 2: Spot the difference-a rigorous risk of bias assessment can alter the main findings of a systematic review

被引:36
作者
Buttner, Fionn [1 ]
Winters, Marinus [2 ]
Delahunt, Eamonn [1 ,3 ]
Elbers, Roy [4 ]
Lura, Carolina B. [2 ]
Khan, Karim M. [5 ]
Weir, Adam [6 ,7 ,8 ]
Ardern, Clare L. [9 ,10 ,11 ]
机构
[1] Univ Coll Dublin, Sch Publ Hlth Physiotherapy & Sports Sci, Dublin 4, Ireland
[2] Aalborg Univ, Ctr Gen Practice, Aalborg, Denmark
[3] Univ Coll Dublin, Inst Sport & Hlth, Dublin, Ireland
[4] Univ Bristol, Bristol Med Sch, Populat Hlth Sci, Bristol, Avon, England
[5] Univ British Columbia, Dept Family Practice, Vancouver, BC, Canada
[6] Aspetar Orthopaed & Sports Med Hosp, Sports Groin Pain Ctr, Doha, Qatar
[7] Erasmus MC, Dept Orthopaed, Univ Med Ctr Groin Injuries, Rotterdam, Netherlands
[8] Sport Med & Exercise Clin Haarlem SBK, Haarlem, Netherlands
[9] La Trobe Univ, Sport & Exercise Med Res Ctr, Bundoora, Vic, Australia
[10] Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden
[11] Karolinska Inst, Div Physiotherapy, Stockholm, Sweden
关键词
methodological; review; education; CHRONIC ANKLE INSTABILITY; RANDOMIZED-TRIALS; HEALTH-CARE; QUALITY; REHABILITATION; MOBILIZATION; EFFICACY; OUTCOMES;
D O I
10.1136/bjsports-2019-101675
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Using the Downs and Black checklist, the majority of included RCTs (8/11) were judged to be high-quality trials. Kosik et al interpreted study quality assessment findings to provide moderate-quality to high-quality evidence for therapeutic interventions improving patient-reported function in individuals with CAI. Using ROB2 on the same sample of RCTs, all trials were judged to be at 'high' overall risk of bias. Our interpretation is that the current evidence for therapeutic interventions. in individuals with CAI is likely prone to bias-limiting conclusions. © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
引用
收藏
页码:801 / 808
页数:8
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