Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 276.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 310.4 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 310.4 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25569783
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 NPJ+Prim+Care+Respir+Med
2015 ; 25
(ä): 14102
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Methodological quality of meta-analyses on treatments for chronic obstructive
pulmonary disease: a cross-sectional study using the AMSTAR (Assessing the
Methodological Quality of Systematic Reviews) tool
#MMPMID25569783
Ho RS
; Wu X
; Yuan J
; Liu S
; Lai X
; Wong SY
; Chung VC
NPJ Prim Care Respir Med
2015[Jan]; 25
(ä): 14102
PMID25569783
show ga
BACKGROUND: Meta-analysis (MA) of randomised trials is considered to be one of
the best approaches for summarising high-quality evidence on the efficacy and
safety of treatments. However, methodological flaws in MAs can reduce the
validity of conclusions, subsequently impairing the quality of decision making.
AIMS: To assess the methodological quality of MAs on COPD treatments. METHODS: A
cross-sectional study on MAs of COPD trials. MAs published during 2000-2013 were
sampled from the Cochrane Database of Systematic Reviews and Database of
Abstracts of Reviews of Effect. Methodological quality was assessed using the
validated AMSTAR (Assessing the Methodological Quality of Systematic Reviews)
tool. RESULTS: Seventy-nine MAs were sampled. Only 18% considered the scientific
quality of primary studies when formulating conclusions and 49% used appropriate
meta-analytic methods to combine findings. The problems were particularly acute
among MAs on pharmacological treatments. In 48% of MAs the authors did not report
conflict of interest. Fifty-eight percent reported harmful effects of treatment.
Publication bias was not assessed in 65% of MAs, and only 10% had searched
non-English databases. CONCLUSIONS: The methodological quality of the included
MAs was disappointing. Consideration of scientific quality when formulating
conclusions should be made explicit. Future MAs should improve on reporting
conflict of interest and harm, assessment of publication bias, prevention of
language bias and use of appropriate meta-analytic methods.