Scientific article
Open access

Evidence mapping and quality analysis of systematic reviews on various aspects related to cleft lip and palate

Published inJournal of clinical medicine, vol. 12, no. 18, 6002
Publication date2023-09-16
First online date2023-09-16

Background: Management of cleft lip and palate is interdisciplinary. An evidence-mapping approach was envisaged to highlight the existing gaps in this field, using only the highest level of evidence.

Objectives: To conduct evidence mapping and quality analysis of systematic reviews and meta-analyses related to any aspect of cleft lip and palate.

Search methods: The cleft lip and palate field was divided into 9 domains and 50 subdomains and a method of categorization of systematic reviews was established. A comprehensive search strategy was carried out in seven databases along with the search of gray literature and references of included articles.

Selection criteria: Systematic reviews related to any aspect of cleft lip and palate, conducted by a minimum of two reviewers, with a comprehensive search strategy and adequate quality analysis were included.

Data collection and analysis: A self-designed, pre-piloted data-extraction sheet was used to collect information that was analyzed through an expert group discussion. Quality analysis was performed using ROBIS-I, AMSTAR 2, and the PRISMA checklist.

Results: A total of 144 systematic reviews published between 2008 and 2022 were included. The largest number of these could be categorized in the therapeutic domain (n = 58). A total of 27% of the studies were categorized as inconclusive, 40% as partially conclusive, and 33% as conclusive. As per ROBIS-I, 77% of reviews had high risk of bias while 58% were graded as critically low in quality as per AMSTAR 2. The majority of systematic reviews showed low reporting errors.

Conclusions: The majority of systematic reviews related to cleft lip and palate relate to therapeutic and prognostic domains and show high risk of bias and critically low quality regardless of the source journal. The results of this paper might serve as a starting point encouraging authors to carry out high-quality research where evidence is lacking.

Registration: A multidisciplinary expert-group formulated an a priori protocol, registered in Open Science Framework (DOI 10.17605/OSF.IO/NQDV2).

  • Cleft lip and palate
  • Evidence mapping
  • Evidence-based medicine
  • Risk of bias
  • Systematic reviews
Citation (ISO format)
SRIVASTAV, Sukeshana et al. Evidence mapping and quality analysis of systematic reviews on various aspects related to cleft lip and palate. In: Journal of clinical medicine, 2023, vol. 12, n° 18, p. 6002. doi: 10.3390/jcm12186002
Main files (1)
Article (Published version)
Secondary files (1)
ISSN of the journal2077-0383

Technical informations

Creation11/08/2023 4:03:49 PM
First validation11/13/2023 9:41:45 AM
Update time11/13/2023 9:41:45 AM
Status update11/13/2023 9:41:45 AM
Last indexation05/06/2024 5:19:42 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack