Harms Reporting in Systematic Reviews of the Microvascular Free Flap in Head and Neck Reconstruction.
Review published in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (2023)
Abstract
OBJECTIVE: To evaluate harms reporting in systematic reviews (SRs) of microvascular free flap (MFF) in head and neck reconstruction. DATA SOURCES: This cross-sectional analysis included searches from the following major databases from 2012 to June 1, 2022: MEDLINE (Pubmed and Ovid), Embase, Epistemonikos, and the Cochrane Database of Systematic Reviews. REVIEW METHODS: In a masked duplicate manner, screening was performed using Rayyan, and data were extracted using a pilot-tested Google form. A MeaSurement Tool to Assess systematic Reviews-2 (AMSTAR-2) was used to appraise the methodological quality of reviews and the corrected covered area was calculated to detect primary study overlap across all reviews. Reviews were then grouped in pairs of 2, called dyads, and the corrected covered area was calculated again for each individual dyad. Dyads with high overlap (≥50%) were further investigated for the accuracy of harms reporting. RESULTS: Our initial search yielded 268 records, with 50 SRs meeting the inclusion criteria. A total of 46 (92%) of the included reviews demonstrated 50% or more adherence to the items assessed in our harms checklist. Our corrected covered area tool revealed 0.6% primary study overlap across all reviews, and 1 dyad with high overlap (≥50%). No statistically significant relationship was observed between the completeness of harms reporting and reviews listing harms as a primary outcome, reviews reporting adherence to Preferred Reporting Items of Systematic Reviews and Meta-Analyses, or a review's AMSTAR rating. CONCLUSION: This study identifies how harms reporting in SRs of MFF reconstruction of the head and neck can be improved and provides suggestions with the potential to mitigate the paucity in current literature.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Резюме
To evaluate harms reporting in systematic reviews (SRs) of microvascular free flap (MFF) in head and neck reconstruction. This cross-sectional analysis included searches from the following major databases from 2012 to June 1, 2022: MEDLINE (Pubmed and Ovid), Embase, Epistemonikos, and the Cochrane...
Почему это важно для гирудотерапии
В данном поперечном исследовании оценивалось качество описания осложнений в 50 систематических обзорах, посвящённых микрохирургической реконструкции свободным лоскутом в хирургии головы и шеи: было установлено, что 92% обзоров продемонстрировали соответствие чек-листу по описанию осложнений на уровне 50% и выше, при этом совпадение первичных исследований между обзорами составило 0,6%. В работе представлены предложения по улучшению описания осложнений в данной литературе. Данная статья не имеет обоснованной релевантности для гирудотерапии или секретома пиявки; это методологическая оценка того, как сообщается об осложнениях в систематических обзорах по свободным лоскутам, и она не затрагивает пиявок, соединения пиявочного происхождения или стратегии антикоагуляции, относящиеся к сфере интересов ASH.
Цитирование
Harms Reporting in Systematic Reviews of the Microvascular Free Flap in Head and Neck Reconstruction.
Wilson et al. · Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2023
Связанный клинический контекст
Узнайте, как это исследование связано с клинической практикой
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