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A methodological survey of the analysis, reporting and interpretation of Absolute Risk ReductiOn in systematic revieWs (ARROW): A study protocol

  • Pablo Alonso-Coello
  • , Alonso Carrasco-Labra
  • , Romina Brignardello-Petersen
  • , Ignacio Neumann
  • , Elie A. Akl
  • , Xin Sun
  • , Bradley C. Johnston
  • , Matthias Briel
  • , Jason W. Busse
  • , Demián Glujovsky
  • , Carlos E. Granados
  • , Alfonso Iorio
  • , Affan Irfan
  • , Laura M. García
  • , Reem A. Mustafa
  • , Anggie Ramirez-Morera
  • , Iván Solà
  • , Kari A.O. Tikkinen
  • , Shanil Ebrahim
  • , Per O. Vandvik
  • Yuqing Zhang, Anna Selva, Andrea J. Sanabria, Oscar E. Zazueta, Robin W.M. Vernooij, Holger J. Schünemann, Gordon H. Guyatt
  • Research Institute of the Santa Creu i Sant Pau Hospital
  • McMaster University
  • Universidad de Chile
  • Pontificia Universidad Católica de Chile
  • American University of Beirut
  • SUNY Buffalo
  • Sichuan University
  • University of Toronto
  • University of Basel
  • Argentine Cochrane Centre IECS (Institute for Clinical Effectiveness and Health Policy)
  • Universidad de la Sabana
  • University of Illinois at Urbana-Champaign
  • University of Missouri at Kansas City
  • IHCAI Foundation and Central America Cochrane
  • Helsinki University Hospital
  • Norwegian Institute of Public Health

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Background: Clinicians, providers and guideline panels use absolute effects to weigh the advantages and downsides of treatment alternatives. Relative measures have the potential to mislead readers. However, little is known about the reporting of absolute measures in systematic reviews. The objectives of our study are to determine the proportion of systematic reviews that report absolute measures of effect for the most important outcomes, and ascertain how they are analyzed, reported and interpreted. Methods/design: We will conduct a methodological survey of systematic reviews published in 2010. We will conduct a 1:1 stratified random sampling of Cochrane vs. non-Cochrane systematic reviews. We will calculate the proportion of systematic reviews reporting at least one absolute estimate of effect for the most patient-important outcome for the comparison of interest. We will conduct multivariable logistic regression analyses with the reporting of an absolute estimate of effect as the dependent variable and pre-specified study characteristics as the independent variables. For systematic reviews reporting an absolute estimate of effect, we will document the methods used for the analysis, reporting and interpretation of the absolute estimate. Discussion: Our methodological survey will inform current practices regarding reporting of absolute estimates in systematic reviews. Our findings may influence recommendations on reporting, conduct and interpretation of absolute estimates. Our results are likely to be of interest to systematic review authors, funding agencies, clinicians, guideline developers and journal editors.

Original languageEnglish
Article number113
JournalSystematic Reviews
Volume2
Issue number1
DOIs
StatePublished - Dec 13 2013

Keywords

  • Absolute effect measures
  • Data reporting
  • Evidence-based medicine
  • Meta-analysis
  • Numbers needed to treat
  • Statistical data
  • Systematic reviews

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