Abstract
- Little is known regarding the reporting quality of meta-analyses in diagnostic pathology.
- To compare reporting quality of meta-analyses in diagnostic pathology and medicine and to examine factors associated with reporting quality of diagnostic pathology meta-analyses.
- Meta-analyses were identified in 12 major diagnostic pathology journals without specifying years and 4 major medicine journals in 2006 and 2011 using PubMed. Reporting quality of meta-analyses was evaluated using the 27-item checklist of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement published in 2009. A higher PRISMA score indicates higher reporting quality.
- Forty-one diagnostic pathology meta-analyses and 118 medicine meta-analyses were included. Overall, reporting quality of meta-analyses in diagnostic pathology was lower than that in medicine (median [interquartile range] = 22 [15, 25] versus 27 [23, 28], P < .001). Compared with medicine meta-analyses, diagnostic pathology meta-analyses less likely reported 23 of the 27 items (85.2%) on the PRISMA checklist, but more likely reported the data items. Higher reporting quality of diagnostic pathology meta-analyses was associated with recent publication years (later than 2009 versus 2009 or earlier, P = .002) and non-North American first authors (versus North American, P = .001), but not journal publisher's location (P = .11). Interestingly, reporting quality was not associated with adjusted citation ratio for meta-analyses in either diagnostic pathology or medicine (P = .40 and P = .09, respectively).
- Meta-analyses in diagnostic pathology had lower reporting quality than those in medicine. Reporting quality of diagnostic pathology meta-analyses is linked to publication year and first author's location, but not to journal publisher's location or article's adjusted citation ratios. More research and education on meta-analysis methodology may improve the reporting quality of diagnostic pathology meta-analyses.
摘要
我们对诊断病理学中Meta分析报告的质量所知甚少。
本研究目的是比较诊断病理学与医学Meta分析报告的质量,并研究影响诊断病理学Meta分析报告的因素。2009年出版的系统综述和荟萃分析优先报告条目(PRISMA)的检查表包含27条,我们利用此检查表分析Meta分析报告的质量。PRISMA得分高表明其质量高。
此研究包括41份诊断病理学Meta分析和118份医学Meta分析。总的来说,诊断病理学Meta分析报告质量较医学Meta分析的质量为低(中位数(四分间距)=22(15,25)vs 27 (23,28),P<0.001)。在PRISMA 27条中,诊断病理学Meta分析报告较医学Meta分析报告有23条漏报的可能性大(85.2%),而更可能报道数据类条目。出版时间越近(2009年后较2009年或之前,P=0.002),一作为非北美地区(较北美,P=0.001)的Meta分析质量较高,而出版地区对Meta分析无显著影响(P=0.11)。有趣的是,报告质量无论对病理诊断学还是医学Meta分析的校正后引用率并无显著影响(P分别为0.4和0.09)。
诊断病理学中Meta分析报告质量低于医学。诊断病理学Meta分析报告质量与出版年和一作所处地区相关,但与出版商地区及论文的校正后引用率无关。关于Meta分析方法学的更多研究和教育可能可以提高诊断病理学Meta分析的报告质量。
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