Similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews

Abstract Background AMSTAR-2 (‘A Measurement Tool to Assess Systematic Reviews, version 2’) and ROBIS (‘Risk of Bias in Systematic Reviews’) are independent instruments used to assess the quality of conduct of systematic reviews/meta-analyses (SR/MAs). The degree of overlap in methodological constru...

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Autores principales: Mateusz J. Swierz, Dawid Storman, Joanna Zajac, Magdalena Koperny, Paulina Weglarz, Wojciech Staskiewicz, Magdalena Gorecka, Anna Skuza, Adam Wach, Klaudia Kaluzinska, Justyna Bochenek-Cibor, Bradley C. Johnston, Malgorzata M. Bala
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Publicado: BMC 2021
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spelling oai:doaj.org-article:37958f4bd84c4fbdae0687fd3e0eff102021-11-28T12:38:41ZSimilarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews10.1186/s12874-021-01457-w1471-2288https://doaj.org/article/37958f4bd84c4fbdae0687fd3e0eff102021-11-01T00:00:00Zhttps://doi.org/10.1186/s12874-021-01457-whttps://doaj.org/toc/1471-2288Abstract Background AMSTAR-2 (‘A Measurement Tool to Assess Systematic Reviews, version 2’) and ROBIS (‘Risk of Bias in Systematic Reviews’) are independent instruments used to assess the quality of conduct of systematic reviews/meta-analyses (SR/MAs). The degree of overlap in methodological constructs together with the reliability and any methodological gaps have not been systematically assessed and summarized in the field of nutrition. Methods We performed a systematic survey of MEDLINE, EMBASE, and the Cochrane Library for SR/MAs published between January 2010 and November 2018 that examined the effects of any nutritional intervention/exposure for cancer prevention. We followed a systematic review approach including two independent reviewers at each step of the process. For AMSTAR-2 (16 items) and ROBIS (21 items), we assessed the similarities, the inter-rater reliability (IRR) and any methodological limitations of the instruments. Our protocol for the survey was registered in PROSPERO (CRD42019121116). Results We found 4 similar domain constructs based on 11 comparisons from a total of 12 AMSTAR-2 and 14 ROBIS items. Ten comparisons were considered fully overlapping. Based on Gwet’s agreement coefficients, six comparisons provided almost perfect (> 0.8), three substantial (> 0.6), and one a moderate level of agreement (> 0.4). While there is considerable overlap in constructs, AMSTAR-2 uniquely addresses explaining the selection of study designs for inclusion, reporting on excluded studies with justification, sources of funding of primary studies, and reviewers’ conflict of interest. By contrast, ROBIS uniquely addresses appropriateness and restrictions within eligibility criteria, reducing risk of error in risk of bias (RoB) assessments, completeness of data extracted for analyses, the inclusion of all necessary studies for analyses, and adherence to predefined analysis plan. Conclusions Among the questions on AMSTAR-2 and ROBIS, 70.3% (26/37 items) address the same or similar methodological constructs. While the IRR of these constructs was moderate to perfect, there are unique methodological constructs that each instrument independently addresses. Notably, both instruments do not address the reporting of absolute estimates of effect or the overall certainty of the evidence, items that are crucial for users’ wishing to interpret the importance of SR/MA results.Mateusz J. SwierzDawid StormanJoanna ZajacMagdalena KopernyPaulina WeglarzWojciech StaskiewiczMagdalena GoreckaAnna SkuzaAdam WachKlaudia KaluzinskaJustyna Bochenek-CiborBradley C. JohnstonMalgorzata M. BalaBMCarticleAMSTAR-2ROBISQualitySystematic reviewMeta-analysisNutritionMedicine (General)R5-920ENBMC Medical Research Methodology, Vol 21, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic AMSTAR-2
ROBIS
Quality
Systematic review
Meta-analysis
Nutrition
Medicine (General)
R5-920
spellingShingle AMSTAR-2
ROBIS
Quality
Systematic review
Meta-analysis
Nutrition
Medicine (General)
R5-920
Mateusz J. Swierz
Dawid Storman
Joanna Zajac
Magdalena Koperny
Paulina Weglarz
Wojciech Staskiewicz
Magdalena Gorecka
Anna Skuza
Adam Wach
Klaudia Kaluzinska
Justyna Bochenek-Cibor
Bradley C. Johnston
Malgorzata M. Bala
Similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews
description Abstract Background AMSTAR-2 (‘A Measurement Tool to Assess Systematic Reviews, version 2’) and ROBIS (‘Risk of Bias in Systematic Reviews’) are independent instruments used to assess the quality of conduct of systematic reviews/meta-analyses (SR/MAs). The degree of overlap in methodological constructs together with the reliability and any methodological gaps have not been systematically assessed and summarized in the field of nutrition. Methods We performed a systematic survey of MEDLINE, EMBASE, and the Cochrane Library for SR/MAs published between January 2010 and November 2018 that examined the effects of any nutritional intervention/exposure for cancer prevention. We followed a systematic review approach including two independent reviewers at each step of the process. For AMSTAR-2 (16 items) and ROBIS (21 items), we assessed the similarities, the inter-rater reliability (IRR) and any methodological limitations of the instruments. Our protocol for the survey was registered in PROSPERO (CRD42019121116). Results We found 4 similar domain constructs based on 11 comparisons from a total of 12 AMSTAR-2 and 14 ROBIS items. Ten comparisons were considered fully overlapping. Based on Gwet’s agreement coefficients, six comparisons provided almost perfect (> 0.8), three substantial (> 0.6), and one a moderate level of agreement (> 0.4). While there is considerable overlap in constructs, AMSTAR-2 uniquely addresses explaining the selection of study designs for inclusion, reporting on excluded studies with justification, sources of funding of primary studies, and reviewers’ conflict of interest. By contrast, ROBIS uniquely addresses appropriateness and restrictions within eligibility criteria, reducing risk of error in risk of bias (RoB) assessments, completeness of data extracted for analyses, the inclusion of all necessary studies for analyses, and adherence to predefined analysis plan. Conclusions Among the questions on AMSTAR-2 and ROBIS, 70.3% (26/37 items) address the same or similar methodological constructs. While the IRR of these constructs was moderate to perfect, there are unique methodological constructs that each instrument independently addresses. Notably, both instruments do not address the reporting of absolute estimates of effect or the overall certainty of the evidence, items that are crucial for users’ wishing to interpret the importance of SR/MA results.
format article
author Mateusz J. Swierz
Dawid Storman
Joanna Zajac
Magdalena Koperny
Paulina Weglarz
Wojciech Staskiewicz
Magdalena Gorecka
Anna Skuza
Adam Wach
Klaudia Kaluzinska
Justyna Bochenek-Cibor
Bradley C. Johnston
Malgorzata M. Bala
author_facet Mateusz J. Swierz
Dawid Storman
Joanna Zajac
Magdalena Koperny
Paulina Weglarz
Wojciech Staskiewicz
Magdalena Gorecka
Anna Skuza
Adam Wach
Klaudia Kaluzinska
Justyna Bochenek-Cibor
Bradley C. Johnston
Malgorzata M. Bala
author_sort Mateusz J. Swierz
title Similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews
title_short Similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews
title_full Similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews
title_fullStr Similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews
title_full_unstemmed Similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using AMSTAR-2 and ROBIS: systematic survey of nutrition reviews
title_sort similarities, reliability and gaps in assessing the quality of conduct of systematic reviews using amstar-2 and robis: systematic survey of nutrition reviews
publisher BMC
publishDate 2021
url https://doaj.org/article/37958f4bd84c4fbdae0687fd3e0eff10
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