BackgroundSystematic reviews are not an assembly of anecdotes but a distillation of current
best available evidence on a particular topic and as such have an important role
to play in evidence-based healthcare. A substantial proportion of these systematic
reviews focus on interventions, and are able to provide clinicians with the
opportunity to understand and translate the best available evidence on the effects
of these healthcare interventions into clinical practice. The importance of
systematic reviews in summarising and identifying the gaps in evidence which might
inform new research initiatives is also widely acknowledged. Their potential
impact on practice and research makes their methodological quality especially
important as it may directly influence their utility for clinicians, patients and
policy makers. The objectives of this study were to identify systematic reviews of
oral healthcare interventions published in the Journal of Applied Oral Science
(JAOS) and to evaluate their methodological quality using the evaluation tool,
AMSTAR. MethodsPotentially eligible systematic reviews in JAOS were identified through an
electronic search of the Scientific Electronic Library Online (SciELO). Details of
the relevant aspects of methodology as reported in these systematic reviews were
extracted from the full text publications. Methodological quality was assessed
independently by two reviewers using the AMSTAR questionnaire. ResultsFive systematic reviews were identified, one of which was subsequently excluded as
it was a review of a diagnostic test. Summary AMSTAR scores for the four included
reviews were: 1, 5, 2 and 4 out of a maximum score of 11 (range 1-5, mean 3) with
only one of the reviews scoring 5. ConclusionAMSTAR evaluation of the methodological quality of the relatively small number of
systematic reviews published in JAOS illustrated that there was room for
improvement. Pre-publication and editorial appraisal of future systematic reviews
might benefit from the application of tools such as AMSTAR and is to be
recommended.
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