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Do health technology assessments comply with QUOROM diagram guidance? An empirical study

Overview of attention for article published in BMC Medical Research Methodology, November 2007
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Title
Do health technology assessments comply with QUOROM diagram guidance? An empirical study
Published in
BMC Medical Research Methodology, November 2007
DOI 10.1186/1471-2288-7-49
Pubmed ID
Authors

Daniel Hind, Andrew Booth

Abstract

The Quality of Reporting of Meta-analyses (QUOROM) statement provides guidance for improving the quality of reporting of systematic reviews and meta-analyses. To make the process of study selection transparent it recommends "a flow diagram providing information about the number of RCTs identified, included, and excluded and the reasons for excluding them". We undertook an empirical study to identify the extent of compliance in the UK Health Technology Assessment (HTA) programme. We searched Medline to retrieve all systematic reviews of therapeutic interventions in the HTA monograph series published from 2001 to 2005. Two researchers recorded whether each study contained a meta-analysis of controlled trials, whether a QUOROM flow diagram was presented and, if so, whether it expressed the relationship between the number of citations and the number of studies. We used Cohen's kappa to test inter-rater reliability. 87 systematic reviews were retrieved. There was good and excellent inter-rater reliability for, respectively, whether a review contained a meta-analysis and whether each diagram contained a citation-to-study relationship. 49% of systematic reviews used a study selection flow diagram. When only systematic reviews containing a meta-analysis were analysed, compliance was only 32%. Only 20 studies (23% of all systematic reviews; 43% of those having a study selection diagram) had a diagram which expressed the relationship between citations and studies. Compliance with the recommendations of the QUOROM statement is not universal in systematic reviews or meta-analyses. Flow diagrams make the conduct of study selection transparent only if the relationship between citations and studies is clearly expressed. Reviewers should understand what they are counting: citations, papers, studies and trials are fundamentally different concepts which should not be confused in a diagram.

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Mendeley readers

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The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Turkey 1 2%
Brazil 1 2%
United Kingdom 1 2%
Canada 1 2%
Spain 1 2%
Unknown 36 88%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 6 15%
Student > Master 6 15%
Librarian 5 12%
Researcher 5 12%
Other 3 7%
Other 13 32%
Unknown 3 7%
Readers by discipline Count As %
Medicine and Dentistry 23 56%
Pharmacology, Toxicology and Pharmaceutical Science 4 10%
Biochemistry, Genetics and Molecular Biology 2 5%
Social Sciences 2 5%
Psychology 2 5%
Other 4 10%
Unknown 4 10%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 September 2018.
All research outputs
#18,814,057
of 23,316,003 outputs
Outputs from BMC Medical Research Methodology
#1,775
of 2,058 outputs
Outputs of similar age
#148,581
of 158,036 outputs
Outputs of similar age from BMC Medical Research Methodology
#3
of 3 outputs
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