Authors seldom report the most patient-important outcomes and absolute effect measures in systematic review abstracts

  • Arnav Agarwal
  • , Bradley C Johnston*
  • , Robin W M Vernooij
  • , Alonso Carrasco-Labra
  • , Romina Brignardello-Petersen
  • , Ignacio Neumann
  • , Elie A Akl
  • , Xin Sun
  • , Matthias Briel
  • , Jason W Busse
  • , Shanil Ebrahim
  • , Carlos E Granados
  • , Alfonso Iorio
  • , Affan Irfan
  • , Laura Martínez García
  • , Reem A Mustafa
  • , Anggie Ramirez-Morera
  • , Anna Selva
  • , Ivan Solà
  • , Andrea J Sanabrai
  • Kari A O Tikkinen, Per O Vandvik, Yuqing Zhang, Oscar E Zazueta, Qi Zhou, Holger J Schunemann, Gordon H Guyatt, Pablo Alonso-Coello
*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

OBJECTIVES: Explicit reporting of absolute measures is important to ensure treatment effects are correctly interpreted. We examined the extent to which authors report absolute effects for patient-important outcomes in abstracts of systematic review (SR).

STUDY DESIGN AND SETTING: We searched OVID MEDLINE and Cochrane Database of Systematic Reviews to identify eligible SRs published in the year 2010. Citations were stratified into Cochrane and non-Cochrane reviews, with repeated random sampling in a 1:1 ratio. Paired reviewers screened articles and recorded abstract characteristics, including reporting of effect measures for the most patient-important outcomes of benefit and harm.

RESULTS: We included 96 Cochrane and 94 non-Cochrane reviews. About 117 (77.5%) relative measures were reported in abstracts for outcomes of benefit, whereas only 34 (22.5%) absolute measures were reported. Similarly, for outcomes of harm, 41 (87.2%) relative measures were provided in abstracts, compared with only 6 (12.8%) absolute measures. Eighteen (9.5%) abstracts reported both absolute and relative measures for outcomes of benefit, whereas only two (1.1%) abstracts reported both measures for outcomes of harm. Results were similar between Cochrane and non-Cochrane reviews.

CONCLUSION: SR abstracts seldom report measures of absolute effect. Journal editors should insist that authors report both relative and absolute effects for patient-important outcomes.

Original languageEnglish
Pages (from-to)3-12
Number of pages10
JournalJournal of Clinical Epidemiology
Volume81
DOIs
Publication statusPublished - Jan 2017

Keywords

  • Absolute measures
  • Abstract reporting
  • Cochrane reviews
  • Explicit reporting
  • Non-Cochrane reviews
  • Patient-important outcomes

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