Table 5Strengths and Limitations of Systematic Reviews and Meta-Analyses using AMSTAR-26

StrengthsLimitations
Pneumonia
Chang, 201910
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest.
  • The authors searched at least two databases and provided key words searched.
  • Study selection and data extraction were performed in duplicate.
  • The authors described the populations, interventions (including doses), comparators (including doses), outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies.
  • The authors provided methodological details for the meta-analysis.
  • The authors noted that most domains of the included studies were classified as low risk of bias.
  • The authors provided results for the heterogeneity in the meta-analysis.
  • The authors reported no conflicts of interests.
  • The review did not provide an explicit statement that the review methods/protocol were established prior to the conduct of the review.
  • The authors did not explain their selection of study designs for inclusion in the review.
  • A list of excluded studies was not provided.
  • The authors did not report the sources of funding for the included studies.
  • The authors did not investigate publication bias or possible impact on the results of the review.
Zhang, 201811
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest
  • The authors searched at least two databases and provided key search terms. References of selected studies were also searched
  • Data extraction was performed in duplicate; however, authors did not state whether Study Selection was performed in duplicate.
  • The authors described the populations, interventions (including dosing), comparators (including dosing), outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies.
  • The authors noted that the low quality of included studies may impact the findings.
  • The authors reported no conflicts of interests.
  • The review did not provide an explicit statement that the review methods/protocol were established prior to the conduct of the review.
  • The authors did not explain their selection of study designs for inclusion in the review.
  • A list of excluded studies was not provided.
  • The authors did not report the sources of funding for the included studies.
  • Only limited methodological details of the meta-analysis were included.
  • The authors did not carry out an investigation of publication bias.
  • The authors did not provide a discussion of heterogeneity in the results or discussion.
Eljaaly, 201712
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest.
  • The authors searched at least two databases and provided key their search strategy. Reference lists of the included studies and trial registries were also searched.
  • Study selection and data extraction were performed in duplicate.
  • The authors provided a list of excluded studies and justified the exclusions.
  • The authors described the populations, interventions (including doses), comparators (including doses), outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies.
  • The authors provided methodological details for the meta-analysis.
  • The authors reported the sources of funding for the included studies.
  • The authors noted that most domains of the included studies were classified as low risk of bias.
  • The authors provided results for the heterogeneity in the meta-analysis.
  • The authors carried out an investigation of publication bias.
  • The authors reported no conflicts of interests.
  • The review did not provide an explicit statement that the review methods/protocol were established prior to the conduct of the review.
  • The authors did not explain their selection of study designs for inclusion in the review.
Lee, 201713
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest.
  • The authors searched at least two databases and provided key their search strategy. Reference lists of relevant reviews were also searched.
  • Study selection and data extraction were performed in duplicate.
  • The authors described the populations, interventions, comparators, outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies.
  • The authors provided methodological details for the meta-analysis.
  • The authors reported no conflicts of interests.
  • The review did not provide an explicit statement that the review methods/protocol were established prior to the conduct of the review.
  • The authors did not explain their selection of study designs for inclusion in the review.
  • A list of excluded studies was not provided.
  • The authors did not report the sources of funding for the included studies.
  • The authors did not account for the risk of bias in the individual studies when interpreting/discussing the results.
  • The authors noted heterogeneity but did not provide an explanation or discussion of the heterogeneity.
  • The authors did not carry out an investigation of publication bias due to the low volume of RCTs.
Vardakas, 2017a14
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest
  • The authors searched at least two databases and provided key search terms. References of selected studies were also searched.
  • Study selection and data extraction were performed in duplicate.
  • The authors described the populations, interventions, comparators, outcomes and research designs of included studies.
  • The authors provided methodological details for the meta-analysis.
  • The authors provided results for the heterogeneity in the meta-analysis.
  • The authors carried out an investigation of publication bias.
  • The authors reported no conflicts of interests.
  • The review did not provide an explicit statement that the review methods/protocol were established prior to the conduct of the review.
  • The authors did not explain their selection of study designs for inclusion in the review.
  • A list of excluded studies was not provided.
  • The authors did not assess risk of bias for the included studies.
  • The authors did not report the sources of funding for the included studies.
Vardakas, 2017b15
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest
  • The authors searched at least two databases and provided key search terms. References of selected studies were also searched.
  • Study selection and data extraction were performed in duplicate.
  • The authors described the populations, interventions, comparators, outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies.
  • The authors provided methodological details for the meta-analysis.
  • The authors provided results for the heterogeneity in the meta-analysis.
  • The authors carried out an investigation of publication bias.
  • The authors reported no conflicts of interests or described their funding sources and conflicts of interest.
  • The review did not provide an explicit statement that the review methods/protocol were established prior to the conduct of the review.
  • The authors did not explain their selection of study designs for inclusion in the review.
  • A list of excluded studies was not provided.
  • The authors did not report the sources of funding for the included studies.
Raz-Pasteur, 201517
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest.
  • The authors searched at least two databases and provided key words searched.
  • Study selection and data extraction were performed in duplicate.
  • The authors described the populations, interventions (including doses), comparators (including doses), outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies.
  • The authors provided methodological details for the meta-analysis.
  • The authors provided results for the heterogeneity in the meta-analysis.
  • The authors reported no conflicts of interests.
  • The review did not provide an explicit statement that the review methods/protocol were established prior to the conduct of the review.
  • The authors did not explain their selection of study designs for inclusion in the review.
  • A list of excluded studies was not provided.
  • The authors did not report the sources of funding for the included studies.
  • The authors did not account for the risk of bias in the individual studies when interpreting/discussing the results.
  • The authors did not carry out an investigation of publication bias.
Pakhale, 201418
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest.
  • The review contains information on the study protocol and explained deviations from the protocol.
  • The authors used a comprehensive literature search strategy.
  • Study selection and data extraction were performed in duplicate.
  • The authors provided a list of excluded studies and justified the exclusions.
  • The authors described the populations, interventions (including doses), comparators (including doses), outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies and accounted for risk of bias when interpreting/discussing the results of the review.
  • The authors reported the sources of funding for the included studies.
  • The authors reported any potential sources of conflict of interest.
  • The authors did not explain their selection of study designs for inclusion in the review.
Sligl, 201419
  • The research question and inclusion criteria of the review included population, intervention, comparator, and outcomes of interest.
  • The authors state that they had a written protocol for a search strategy that was established prior to the conduct of the review.
  • The authors searched at least two databases and provided key their search strategy. Trial/Study registries and conferences were hand searched; the authors consulted content experts in the field.
  • Study selection and data extraction were performed in duplicate.
  • The authors described the populations, interventions, comparators, outcomes and research designs of included studies.
  • The authors assessed risk of bias for the included studies.
  • The authors provided methodological details for the meta-analysis.
  • The authors provided results for the heterogeneity in the meta-analysis.
  • The authors carried out an investigation of publication bias.
  • The authors reported no conflicts of interests.
  • The authors did not explain their selection of study designs for inclusion in the review.
  • A list of excluded studies was not provided.
  • The authors did not report the sources of funding for the included studies.
  • The authors did not account for the risk of bias in the individual studies when interpreting/discussing the results.
COPD
Zhang, 201716
  • The research question and inclusion criteria of the review included the population, intervention, comparator group, and outcome.
  • Study selection was performed in duplicate; however, authors did not state whether data extraction was performed I duplicate.
  • Included studies were described in adequate detail.
  • The authors assessed risk of bias for the included studies.
  • There was no significant heterogeneity in the results.
  • The authors did not explicitly state that the review methods/protocol were established prior to conducting the review, however the research questions, search strategy, inclusion/exclusion criteria, and risk of bias assessment were discussed in detail.
  • The authors did not provide a list of excluded studies and justification for the exclusions.
  • The authors did not report the sources of funding for the included studies.
  • The authors did not report sources of conflict of interest.

COPD = chronic obstructive pulmonary disease; RCT = randomized controlled trial

From: Fluoroquinolones for the Treatment of Respiratory Tract Infections: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Cover of Fluoroquinolones for the Treatment of Respiratory Tract Infections: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines
Fluoroquinolones for the Treatment of Respiratory Tract Infections: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines [Internet].
Cowling T, Farrah K.
Copyright © 2019 Canadian Agency for Drugs and Technologies in Health.

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