en
Scientific article
English

How to read a systematic review and meta-analysis and apply the results to patient care: users' guides to the medical literature

Published inJAMA, vol. 312, no. 2, p. 171-179
Publication date2014
Abstract

Clinical decisions should be based on the totality of the best evidence and not the results of individual studies. When clinicians apply the results of a systematic review or meta-analysis to patient care, they should start by evaluating the credibility of the methods of the systematic review, ie, the extent to which these methods have likely protected against misleading results. Credibility depends on whether the review addressed a sensible clinical question; included an exhaustive literature search; demonstrated reproducibility of the selection and assessment of studies; and presented results in a useful manner. For reviews that are sufficiently credible, clinicians must decide on the degree of confidence in the estimates that the evidence warrants (quality of evidence). Confidence depends on the risk of bias in the body of evidence; the precision and consistency of the results; whether the results directly apply to the patient of interest; and the likelihood of reporting bias. Shared decision making requires understanding of the estimates of magnitude of beneficial and harmful effects, and confidence in those estimates.

Keywords
  • Bias (Epidemiology)
  • Decision Making
  • Evidence-Based Practice/methods
  • Humans
  • Meta-Analysis as Topic
  • Patient Care/standards
  • Reproducibility of Results
  • Review Literature as Topic
Citation (ISO format)
MURAD, Mohammad Hassan et al. How to read a systematic review and meta-analysis and apply the results to patient care: users” guides to the medical literature. In: JAMA, 2014, vol. 312, n° 2, p. 171–179. doi: 10.1001/jama.2014.5559
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal0098-7484
804views
2downloads

Technical informations

Creation11/22/2016 3:00:00 PM
First validation11/22/2016 3:00:00 PM
Update time03/15/2023 1:10:18 AM
Status update03/15/2023 1:10:17 AM
Last indexation05/02/2024 6:02:19 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack