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PMID: 16828668 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Review

Summaries of findings, descriptions of interventions, and information about adverse effects would make reviews more informative.

Journal of clinical epidemiology ·Vol. 59 ·No. 8 ·2006-08-00 ·Pages 770-8

Glenton C, Underland V, Kho M, Pennick V, Oxman AD

Abstract

To describe challenges when extracting and presenting relevant, consistent, and accessible information from systematic reviews. We systematically selected comparisons and outcomes from 18 Cochrane reviews, evaluated the quality of evidence for each outcome using the GRADE system, and developed standardized patient information. We evaluated the information using patient, review author, researcher, and clinician feedback. Challenges included large numbers of comparisons and outcomes; missing information about treatments and adverse effects; and variations in how effect was measured and presented. By selecting comparisons and outcomes based on patient-relevance, quality, and nonredundancy, we halved the number of outcomes. We prepared information about treatments and adverse effects using other sources. We framed outcomes consistently and standardized the presentation of magnitude of effect. The incorporation of summary of findings tables in reviews could address these challenges. Problems could also be reduced if review groups agreed upon standard outcomes; excluded less relevant outcomes; incorporated more information about interventions and adverse effects; and implemented clearer guidelines for the presentation of results.

MeSH Terms
Clinical Trials as Topic Data Interpretation, Statistical Evidence-Based Medicine Humans Meta-Analysis as Topic Review Literature as Topic Treatment Outcome
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Glenton Claire
Norwegian Health Services Research Centre, Pb 7004 St. Olavs Plass, 0130 Oslo, Norway. [email protected]
Underland Vigdis
Kho Michelle
Pennick Victoria
Oxman Andrew D
Article Info
Journal
Journal of clinical epidemiology
Abbr.
J Clin Epidemiol
ISSN
0895-4356
Published
2006-08-00
Epub
2006-00-30
Pages
770-8
Language
English
Region
United States
NLM ID
8801383
Subset
IM
Analysis Services
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