Challenges of consolidating evidence collected during a pandemic and lessons for the future.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-08-01 Epub Date: 2024-07-23 DOI:10.1080/03007995.2024.2377676
Seye Abogunrin, Alex Adelakun, Titilope Akinola, Usman Bashir, Bisoye Fagbohungbe, Elvira Mueller, Kurt Neeser, Oluseun Ogunnubi, Krupa Parekh
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引用次数: 0

Abstract

Objective: To illustrate the challenges encountered when gathering rapidly synthesized evidence in response to the coronavirus disease 2019 (COVID-19) pandemic.

Methods: In this article, we describe the challenges encountered when we performed a systematic literature review (SLR) of randomized controlled trials (RCTs) on the efficacy and safety of treatments for severe COVID-19. The methods of the SLR are described in full, to show the context of our objectives. Then we use the results of the SLR to demonstrate the problems of producing synthesized evidence in this setting.

Results: Various challenges were identified during this SLR. These were primarily a result of heterogeneity in the study methodology of eligible studies. Definitions of the patient populations and outcome measurements were highly variable and the majority of studies demonstrated a high risk of bias, preventing quantitative synthesis of the collated evidence.

Conclusion: Consolidating evidence from RCTs evaluating COVID-19 interventions was problematic. Guidance is needed for scenarios with high rapid output in primary research.

整合大流行期间收集的证据所面临的挑战以及未来应吸取的经验教训。
目的说明在应对冠状病毒病2019(COVID-19)大流行时快速收集综合证据所遇到的挑战:在本文中,我们描述了在对有关严重COVID-19治疗方法的有效性和安全性的随机对照试验(RCT)进行系统文献综述(SLR)时所遇到的挑战。本文全面介绍了系统性文献综述的方法,以说明我们的目标背景。然后,我们用 SLR 的结果来说明在这种情况下产生综合证据的问题:在 SLR 期间发现了各种挑战。这些挑战主要是由于符合条件的研究在研究方法上存在差异。对患者人群和结果测量的定义差异很大,大多数研究显示出很高的偏倚风险,阻碍了对整理后的证据进行定量综合:结论:对评估 COVID-19 干预措施的 RCT 证据进行整合存在问题。需要为初级研究中快速产出的情况提供指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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