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28 Cards in this Set

  • Front
  • Back
narrative native and systematic reviews
objectives
narrative reviews
easier, general overvies,
published in pharmacy and medical journals... a chapter in one of our books.
narrative reviews
we don't know how the information was obtained, its just a general review,,, tertiary literature.
narrative reviews
remember to look at reference list. is it current, and where was the source from?
narrative reviews
we dont want authors to continuously author their own work it will probably mean that they have a very limited point of views
systematic reviews
answering a specific topic,
they tell you how the research was conducted.
systematic reviews
very critical about their reviews
systematic reviews
objective, study design, results, conclusion,
what data bases were used?
quantitative systematic reviews
the data is pooled
qualitative systematic reviews
where the data is not pooled, too many factors and variables to pool the data,
quantitative systematic reviews
meta-analysis
meta-analysis
study analyses, study of study
meta-analysis
takes data from pervasively published research and combine it.
meta-analysis
has data from many clinical trials which may provided more accurate information.
it may reach a new conclusion... it may be reviewing primary literature, but because it may give off new unknown answers it is commonly believed to be primary literature.
meta-analysis
by pooling data from other studies it increases sample size, and statical power.
this may help to find new differences.
best used to clarify uncertainty
meta-analysis
improve estimates of effect size
yes, size does matter
meta-analysis
thats what she said
meta-analysis
in introduction you described how "we dont know" like a clinical trail, these meta analyses must be justified
meta-analysis
will have search strategies
and we have standards of what studies we will and wont include.
meta-analysis
studies should be included based on quality of study, not based on results...
this will help to avoid selection bias... which can become a big problem when combining studies
meta-analysis
should have multiple people extract data to avoid more selection bias
meta-analysis
data extraction should also be done independently to help avoid a bias
homogeneity and heterogeneity,
can we pool the data? or cant we pool
homogeneity
pooling can be problematic
cochran Q test
we want the P value to be less than 0.05
which means that the difference between the study is due to a difference that actually exist
I squared index
percentage of variability,
the smaller the number the less liketly the studies are heterogeneous. the higher the I squared the more likely heterogeneousness
when the confidence intervals include 1
there is no increased risk... however, if we pool multiple confidence intervals the CI may be above 1.06... resulting an a significant and suggested.
sensitivity analysis
helps to determine how strong the study is.