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      Introduction to systematic review and meta-analysis

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          Abstract

          Systematic reviews and meta-analyses present results by combining and analyzing data from different studies conducted on similar research topics. In recent years, systematic reviews and meta-analyses have been actively performed in various fields including anesthesiology. These research methods are powerful tools that can overcome the difficulties in performing large-scale randomized controlled trials. However, the inclusion of studies with any biases or improperly assessed quality of evidence in systematic reviews and meta-analyses could yield misleading results. Therefore, various guidelines have been suggested for conducting systematic reviews and meta-analyses to help standardize them and improve their quality. Nonetheless, accepting the conclusions of many studies without understanding the meta-analysis can be dangerous. Therefore, this article provides an easy introduction to clinicians on performing and understanding meta-analyses.

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          Measuring inconsistency in meta-analyses.

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            GRADE: an emerging consensus on rating quality of evidence and strength of recommendations.

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              The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.

              Systematic reviews and meta-analyses are essential to summarize evidence relating to efficacy and safety of health care interventions accurately and reliably. The clarity and transparency of these reports, however, is not optimal. Poor reporting of systematic reviews diminishes their value to clinicians, policy makers, and other users. Since the development of the QUOROM (QUality Of Reporting Of Meta-analysis) Statement--a reporting guideline published in 1999--there have been several conceptual, methodological, and practical advances regarding the conduct and reporting of systematic reviews and meta-analyses. Also, reviews of published systematic reviews have found that key information about these studies is often poorly reported. Realizing these issues, an international group that included experienced authors and methodologists developed PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) as an evolution of the original QUOROM guideline for systematic reviews and meta-analyses of evaluations of health care interventions. The PRISMA Statement consists of a 27-item checklist and a four-phase flow diagram. The checklist includes items deemed essential for transparent reporting of a systematic review. In this Explanation and Elaboration document, we explain the meaning and rationale for each checklist item. For each item, we include an example of good reporting and, where possible, references to relevant empirical studies and methodological literature. The PRISMA Statement, this document, and the associated Web site (http://www.prisma-statement.org/) should be helpful resources to improve reporting of systematic reviews and meta-analyses.
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                Author and article information

                Journal
                Korean J Anesthesiol
                Korean J Anesthesiol
                KJAE
                Korean Journal of Anesthesiology
                Korean Society of Anesthesiologists
                2005-6419
                2005-7563
                April 2018
                2 April 2018
                : 71
                : 2
                : 103-112
                Affiliations
                [1 ]Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, Korea
                [2 ]Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea
                Author notes
                Corresponding author: Hyun Kang, M.D., Ph.D., M.P.H. Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, 84, Heukseok-ro, Dongjak-gu, Seoul 06911, Korea Tel: 82-2-6299-2571, 2579, 2586, Fax: 82-2-6299-2585 Email: roman00@ 123456naver.com
                Author information
                http://orcid.org/0000-0001-6321-5285
                http://orcid.org/0000-0003-2844-5880
                Article
                kjae-2018-71-2-103
                10.4097/kjae.2018.71.2.103
                5903119
                29619782
                fdc48a61-35cf-4d23-8cb0-0582747e7e7d
                Copyright © The Korean Society of Anesthesiologists, 2018

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 December 2017
                : 28 February 2018
                : 14 March 2018
                Categories
                Statistical Round

                Anesthesiology & Pain management
                anesthesiology,meta-analysis,randomized controlled trial,systematic review

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