Quality appraisal as part of the systematic review: a review of current methods

Chris Littlewood · Kenneth Chance-Larsen · Sionnadh Mairi McLean

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Meta-analysis and systematic reviews Clinical practice guidelines implementation Delphi Technique in Research

Abstract

Systematic reviews frequently underpin national and international practice guidelines. Different approaches to the systematic review process, in particular quality appraisal, have been advocated. This paper discusses these approaches and highlights possible limitations which might impact upon the validity of the conclusions drawn. Practical alternatives are offered upon which systematic reviews may be appraised and conducted.

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References

2003Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials 2001Reported Methodologic Quality and Discrepancies between Large and Small Randomized Trials in Meta-Analyses 2003Updated Method Guidelines for Systematic Reviews in the Cochrane Collaboration Back Review Group 1997Discrepancies between Meta-Analyses and Subsequent Large Randomized, Controlled Trials 1995Best evidence synthesis: An intelligent alternative to meta-analysis 2000How to review the evidence: systematic identification and review of the scientific literature 1995The Relationship Between Methodological Quality and Conclusions in Reviews of Spinal Manipulation 2007The Sensitivity of Review Results to Methods Used to Appraise and Incorporate Trial Quality Into Data Synthesis

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