Abstract
A systematic review is a process of synthesizing research evidence by collecting and summarizing all empirical evidence that meets predefined inclusion and exclusion criteria. Systematic reviews are performed by using systematic methods and often include a meta-analysis component which involves statistical techniques to conduct quantitative synthesis. Pharmacists from different regions of the world and practices—such as academia, hospital, and community—are increasingly using this approach to produce evidence about their new services and interventions, comparing them with services provided by other healthcare professionals or with control groups. This chapter covers the inception of a systematic approach to reviews and their use in pharmacy practice. The quality associated with systematic reviews and meta-analyses are discussed. A quick guide outlines the important steps in conducting a systematic review, and some of the models used in the reporting of meta-analyses—such as direct and indirect evidence models and pooling effect sizes—are introduced.
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Abbreviations
- CINAHL:
-
Cumulative Index to Nursing and Allied Health Literature
- EBP:
-
Evidence-based practice
- EMBASE:
-
Excerpta Medica Database
- GRADE:
-
Grading of Recommendations, Assessment, Development and Evaluations
- IPA:
-
International Pharmaceutical Abstracts
- MA:
-
Meta-analysis
- NICE:
-
National Institute for Health and Care Excellence
- OR:
-
Odds ratio
- PICO:
-
Patient, intervention, comparison, outcome
- PRISMA:
-
Preferred Reporting Items for Systematic Reviews and Meta-Analyses
- QUAROM:
-
Quality of Reporting of Meta-analyses
- RCT:
-
Randomized controlled trial
- RR:
-
[Relative] Risk ratio
- SIGN:
-
Scottish Intercollegiate Guidelines Network
- SR:
-
Systematic review
References
Ahn EJ, Kang H. Introduction to systematic review and meta-analysis. Korean J Anesthesiol. 2018;71(2):103–12.
Babar ZU, Kousar R, Hasan SS, Scahill S, Curley LE. Glycemic control through pharmaceutical care: a meta-analysis of randomized controlled trials. J Pharm Health Serv Res. 2019;10(1):35–44.
Bucher HC, Guyatt GH, Griffith LE, Walter SD. The results of direct and indirect treatment comparisons in meta-analysis of randomized controlled trials. J Clin Epidemiol. 1997;50(6):683–91.
Carter BL, Rogers M, Daly J, Zheng S, James PA. The potency of team-based care interventions for hypertension: a meta-analysis. Arch Intern Med. 2009;169(19):1748–55.
Chalmers I. The James Lind initiative. J R Soc Med. 2003;96(12):575–6.
Cochrane Consumer Network. What is a systematic review? 2019. Available from: https://consumers.cochrane.org/what-systematic-review.
Collins Dictionary. Definition of ‘review’. 2019. Available from: https://www.collinsdictionary.com/dictionary/english/review.
Debray TP, Moons KG, Abo-Zaid GM, Koffijberg H, Riley RD. Individual participant data meta-analysis for a binary outcome: one-stage or two-stage? PLoS One. 2013;8(4):e60650.
DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.
Dijkers M. Introducing GRADE: a systematic approach to rating evidence in systematic reviews and to guideline development. Knowl Translat Update. 2013;1:1–9.
Doi SAR, Barendregt JJ. Meta-analysis I: computational methods. In: Doi, Williams, editors. Methods of clinical epidemiology. Berlin, Heidelberg: Springer Publishing; 2013. p. 229–52.
Doi SA, Barendregt JJ, Khan S, Thalib L, Williams GM. Advances in the meta-analysis of heterogeneous clinical trials I: the inverse variance heterogeneity model. Contemp Clin Trials. 2015;45(Pt A):130–8.
Doi SA, Thalib L. A quality-effects model for meta-analysis. Epidemiology. 2008;19(1):94–100.
Effective Practice and Organisation of Care (EPOC). Norwegian Knowledge Centre for the Health Services. Suggested risk of bias criteria for EPOC reviews. 2019. Available from: https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/Suggested%20risk%20of%20bias%20criteria%20for%20EPOC%20reviews.pdf.
Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Inf Libr J. 2009;26(2):91–108.
Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924–6.
Hasan SS, Zaidi STR, Nirwan JS, Ghori MU, Javid F, Ahmadi K, Babar ZD. Use of central nervous system (CNS) medicines in aged care homes: a systematic review and meta-analysis. J Clin Med. 2019;8:1292.
Higgins JPT, Altman DG, Sterne JAC. Chapter 8: Assessing risk of bias in included studies. Cochrane statistical methods group and the Cochrane Bias methods group. 2011. Available from: http://handbook.cochrane.org/chapter_8/8_assessing_risk_of_bias_in_included_studies.htm.
Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editors. Cochrane handbook for systematic reviews of interventions version 6.0 (updated July 2019). Cochrane. 2019. Available from www.training.cochrane.org/handbook.
Holland R, Desbororough J, Goodyer L, Hall S, Wright D, Loke YK. Does pharmacist-led medication review help to reduce hospital admissions and deaths in older people? A systematic review and meta-analysis. Br J Clin Pharmacol. 2007;65(3):303–16.
Kang H. Statistical considerations in meta-analysis. Hanyang Med Rev. 2015;35:23–32.
Kao LS, Tyson JE, Blakely ML, Lally KP. Clinical research methodology I: introduction to randomized trials. J Am Coll Surg. 2008;206(2):361–9.
Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.
Lu G, Ades AE. Combination of direct and indirect evidence in mixed treatment comparisons. Stat Med. 2004;23(20):3105–24.
Melchiors AC, Correr CJ, Venson R, Pontarolo R. An analysis of quality of systematic reviews on pharmacist health interventions. Int J Clin Pharm. 2012;34:32–42.
Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup DF. Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Quality of reporting of meta-analyses. Lancet. 1999;354:1896–900.
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535. https://doi.org/10.1136/bmj.b2535.
Mulrow CD. The medical review article: state of the science. Ann Intern Med. 1987;106:485–8.
Naghavi M. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019;364:194.
National Institute for Health and Clinical Excellence (NICE). Developing NICE guidelines: the manual. London: National Institute for Health and Clinical Excellence; 2014.
Petticrew M, Roberts H. Systematic reviews in the social sciences: a practical guide. Malden, MA: Blackwell Publishing; 2006.
Scottish Intercollegiate Guidelines Network. Methodology checklist 3: cohort studies. Scottish Intercollegiate Guidelines Network: Scotland, Edinburgh; 2012.
The Institute for Health Metrics and Evaluation (IHME). Available from http://www.healthdata.org/gbd/faq#What%20is%20an%20uncertainty%20interval? Accessed 06 Dec 2019.
Thomas PAD, Moons KGM, van Valkenhoef G, Orestis E, Hummel N, Rolf GHH, Johannes RB, on behalf of the GetReal Methods Review Group. Get real in individual participant data (IPD) meta-analysis: a review of the methodology. Res Synth Methods. 2015;6(4):293–309.
Uman LS. Systematic reviews and meta-analyses. J Can Acad Child Adolesc Psychiatry. 2011;20(1):57–9.
Willis BH, Quigley M. The assessment of the quality of reporting of meta-analyses in diagnostic research: a systematic review. BMC Med Res Methodol. 2011;11:163.
Woolf B. On estimating the relation between blood group and disease. Ann Hum Genet. 1955;19:251–3.
Acknowledgments
We would like to thank Dr. Keivan Ahmadi from Lincoln Medical School (UK) for providing constructed feedback on meta-analysis component.
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Hasan, S.S., Kairuz, T., Thiruchelvam, K., Babar, ZUD. (2020). Systematic Reviews and Meta-Analysis in Pharmacy Practice. In: Babar, ZUD. (eds) Pharmacy Practice Research Methods. Springer, Singapore. https://doi.org/10.1007/978-981-15-2993-1_12
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