Methodological quality of case series studies: an introduction to the JBI critical appraisal tool
Methodological quality of case series studies: an introduction to the JBI critical appraisal tool
复制标题
DOI：
10.11124/jbisrir-d-19-00099
复制
发表时间：
2020-10-01
影响因子：
2.7
通讯作者：
Aromataris, Edoardo
中科院分区：
文献类型：
--
作者：
Munn, Zachary;Barker, Timothy Hugh;Aromataris, Edoardo
引言：系统综述提供了关于某一问题的最佳可用证据的严格综合。在缺乏高质量证据的情况下，系统评价者可以选择依靠病例系列研究来提供与他们的问题相关的信息。然而，到目前为止，已经有有限的指导，如何将案例系列研究的系统评价评估干预措施的有效性，特别是参考评估这些study.Methods的方法质量或风险的偏见：一个国际工作组成立审查的方法学文献的情况下，作为一种形式的证据，包括在系统评价。然后，该小组根据与这些研究中的偏倚有关的流行病学文献开发了一种关键的评估工具。JBI的国际科学委员会对此进行了试验、审查和批准。结果：JBI病例系列研究的关键评估工具包括10个问题，涉及病例系列设计的内部有效性和偏倚风险，特别是混杂、选择和信息偏倚，以及明确报告的重要性。在某些情况下，病例系列设计可能代表了告知临床实践的最佳可用证据。病例系列的JBI关键评估工具为系统评价者提供了一种评估这些研究方法学质量的认可方法。
Introduction: Systematic reviews provide a rigorous synthesis of the best available evidence regarding a certain question. Where high-quality evidence is lacking, systematic reviewers may choose to rely on case series studies to provide information in relation to their question. However, to date there has been limited guidance on how to incorporate case series studies within systematic reviews assessing the effectiveness of an intervention, particularly with reference to assessing the methodological quality or risk of bias of these studies.Methods: An international working group was formed to review the methodological literature regarding case series as a form of evidence for inclusion in systematic reviews. The group then developed a critical appraisal tool based on the epidemiological literature relating to bias within these studies. This was then piloted, reviewed, and approved by JBI's international Scientific Committee.Results: The JBI critical appraisal tool for case series studies includes 10 questions addressing the internal validity and risk of bias of case series designs, particularly confounding, selection, and information bias, in addition to the importance of clear reporting.Conclusion: In certain situations, case series designs may represent the best available evidence to inform clinical practice. The JBI critical appraisal tool for case series offers systematic reviewers an approved method to assess the methodological quality of these studies.