Top Ten Misunderstanding of Systematic Review in Health System Decisions_Chinese Journal of Evidence-Based Medicine

Authors：

 TONG Feng , BAI Zhenggang

Southwestern University of Finance and Economics, Chengdu 610000, China;

Corresponding author：

TONG Feng, Email: viptom@foxmail.com

Keywords：

Evidence-based medicine; Systematic review; Decision basis; Health system decision; Evidence-based practice

DOI：

10.7507/1672-2531.20130094

Video：

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With vigorous development of the Evidence-Based Practice (EBP), systematic review as a reliable basis for decision making is becoming more and more important, especially in emergent and significant situation under the influence of various interferences. But there are many misunderstandings and fallacies in systematic review beyond medical field, which block the spread and application of systematic review in health system decisions. This paper takes the evidences of health intervention practice as examples, explores the functions of systematic review in health system decisions, tries to clarify these misunderstandings and fallacies, and so as to promote the development of systematic review.

Citation： TONG Feng,BAI Zhenggang. Top Ten Misunderstanding of Systematic Review in Health System Decisions. Chinese Journal of Evidence-Based Medicine, 2013, 13(5): 531-535. doi: 10.7507/1672-2531.20130094 Copy

1.	Trinder L, Reynolds S. Evidence-based Practice: A Critical Appraisal. Oxford: Blackwell Science, 2000: 17.
2.	Walshe K, Rundall TG. Evidence-based management: From theory to practice in health care. Milbank Quarterly, 2001, 73: 429-457, IV-V.
3.	Petticrew M. Systematic reviews from astronomy to zoology: myths and misconceptions. BMJ (Clinical research ed.), 2001, 322: 98-101.
4.	Mays N, Pope C, Popay J. Systematic reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. Journal of Health Services Research Policy, 2005, 10(suppl_1): 6-20.
5.	Lavis JN, Davies HT, Gruen RL, et al. Working within and beyond the Cochrane Collaboration to make systematic reviews more useful to healthcare managers and policy makers. Healthcare Policy, 2006, 1: 21-33.
6.	Lavis JN. How can we support the use of systematic reviews in policymaking? PLOS Medicine, 2009, 6: e1000141.
7.	Lavis J, Oxman A, Grimshaw J, et al. SUPPORT Tools for evidence-informed health Policymaking (STP) 7: Finding systematic reviews. Health research policy and systems Central [serial online], 2009 [cited 2011 Jun 10]; 7 Suppl 1: S7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20018114.
8.	Devereaux PJ, Choi PTL, Lacchetti C, et al. A systematic review and meta-analysis of studies comparing mortality rates of private for-profit and private not-for-profit hospitals. Canadian Medical Association Journal, 2002, 166: 1399-1406.
9.	Commission on the Future of Health Care in Canada. Building on Values: The Future of Health Care in Canada. Ottawa, Canada: 2002.
10.	Lavis JN, Panisset U. EVIPNet Africa’s first series of policy briefs to support evidence-informed policymaking. International Journal of Technology Assessment in Health Care, 2010, 26: 229-232.
11.	Hayes SL, Mann MK, Morgan FM, et al. Collaboration between local health and local government agencies for health improvement. Cochrane Database of Systematic Reviews 2011, 6: CD007825. DOI: 10.1002/14651858.CD007825.
12.	Gosden T, Forland F, Kristiansen IS, et al. Capitation, salary, fee-for-service and mixed systems of payment: Effects on the behavior of primary care physicians. Cochrane Database of Systematic Reviews, 2000, 3: CD002215. DOI: 10.1002/14651858.CD002215.
13.	Lewis R, Neal RD, Williams NH, et al. Nurse-led vs. conventional physician-led follow-up for patients with cancer: Systematic review. Journal of Advanced Nursing, 2009, 65: 706-723.
14.	Moat KA, Lavis JN, Wilson MG, et al. Twelve myths about systematic reviews for health system policymaking rebutted. J Health Servers Policy, 2013, 18(1): 44-50.
15.	Albada A, Ausems MG, Bensing JM, et al. Tailored information about cancer risk and screening: A systematic review. Patient Education and Counseling, 2009, 77: 155-171.
16.	吕筠, 李立明. 循证公共政策与公共卫生改革路径. 人文杂志, 2006, (1): 146-151.
17.	Roberts MJ, Hsiao W, Berman P, et al. Getting Health Reform Right: A Guide to Improving Performance and Equity. Oxford, UK: Oxford University Press, 2004.
18.	陈庆升. 救助管理政策反思——以证据为本与社会政策. 中外企业家, 2006, (10): 82-85.
19.	Say L, Raine R. A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context. Bull World Health Organ, 2007, 85(10): 812-819.
20.	Gravolin M, Rowell K, De Groot J. Interventions to support the decision-making process for older people facing the possibility of long-term residential care. The Cochrane Collaboration, 8 OCT 2008.
21.	Paul M, Evan MW, Jane AD. Personal assistance for older adults (65+) without dementia. The Cochrane Collaboration, 21 JAN 2009.
22.	Rockers PC, Feigl A, Rottingen RA, et al. Study-design selection criteria in systematic reviews of effectiveness of health systems interventions and reforms: A meta-review, 2006.
23.	曾宪涛, 冷卫东, 李胜, 等. 如何正确理解及使用GRADE系统. 中国循证医学杂志 2011, 11(9): 985-990.
24.	Grimshaw J, Wilson B, Campbell M, et al. Epidemiological Methods, In: Fulop N, editor. Studying the Organisation and Delivery of Health Services: Research Methods, New York: Routledge, 2001.
25.	熊俊, 陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR. 中国循证医学杂志, 2011, 11(9): 1084-1089.
26.	Shea B, Grimshaw J, Wells G, et al. Development of AMSTAR: A measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology [serial online], 2007[cited 2008 Jun 1];7: 10.Available from: http://www.biomedcentral.com/1471-2288/7/10.
27.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ (Clinical research Ed.), 2008, 336: 924-926.
28.	Gruen R, Weeramanthri TS, Knight SE, et al. Specialist outreach clinics in primary care and rural hospital settings. Cochrane Database of Systematic Reviews, 2003, 4: CD003798. DOI: 10.1002/14651858.CD003798.
29.	Flottorp S. Do specialist outreach visits in primary care and rural hosptial settings improve care. A SUPPORT Summary of a systematic review, 2008. [Serial online], 2008[cited 2009 Jun 25], 7(1): [24 screen]. Available http //www.supportcollaboration.org/summaries.htm.
30.	Wiysonge CS, Okwundu CI. Does midwife-led care improve the delivery of care to women during and after pregnancy. A SUPPORT Summary of a systematic review, 2009[serial online] 2009 [cited 2010 Jun 15], 5(2). Available from: www.support-collaboration.org/summaries.htm.
31.	Grobler LA, Marais BJ, Mabunda SA, et al. Interventions for increasing the proportion of health professionals practising in rural and other underserved areas. Cochrane Database of Systematic Reviews, 2009;2: CD005314. DOI: 10.1002/14651858.CD005314.
32.	Ba¨rnighausen T, Bloom D. Financial incentives for return of service in underserved areas: A systematic review. BMC Health Services Research, 2009, 29: 86.
33.	World Health Organization. Increasing access to health workers in remote and rural areas through improved retention. Geneva: World Health Organization, 2010.
34.	Lavis JN, Davies HTO, Oxman A, et al. Towards systematic reviews that inform health care management and policy-making. Journal of Health Services Research Policy, 10(suppl_1): 35-48.
35.	Bateganya MH, Abdulwadud OA, Kiene SM. Home-based HIV voluntary counseling and testing in developing countries. Cochrane Database of Systematic Reviews, 2007; 4: CD006493. DOI: 10.1002/14651858.CD006493.
36.	Hopkins H, Talisuna A, Whitty CJ, et al. Impact of home-based management of malaria on health outcomes in Africa: A systematic review of the evidence. Malaria Journal, 2007, 6: 134.
37.	Lavis JN, Oxman A, Souza N, et al. SUPPORT Tools for evidence-informed health Policymaking (STP) 9: Assessing the applicability of the findings of a systematic review. Health Research Policy and Systems, 7(Suppl 1): S9.
38.	Sturm H, Austvol DA, Aaserud M, et al. Pharmaceutical policies: Effects of financial. Cochrane Database of Systematic Reviews, 2007; 3: CD006731. DOI: 10.1002/14651858.CD006731.
39.	曾宪涛, 李胜, 马钻, 等. Meta分析系列之八: Meta分析的报告规范. 中国循证心血管医学杂志, 2012, 4(6): 500-503.
40.	杨智荣, 詹思延. PROSPERO: 为非Cochrane系统评价全新打造的注册平台. 中华医学杂志, 2012, 92(6): 422-425.
41.	Sheldon TA. Making evidence synthesis more useful for management and policy-making. Journal of Health Services Research Policy, 10 Suppl 1: 1-5.
42.	Misso M, Green S, Brennan S, et al. Policy relevant summaries: Encouraging and supporting Australian policymakers to use Cochrane reviews. In: XV Cochrane Colloquium, Sao Paolo, Brazil: October, 2007: 23-27.

1. Trinder L, Reynolds S. Evidence-based Practice: A Critical Appraisal. Oxford: Blackwell Science, 2000: 17.
2. Walshe K, Rundall TG. Evidence-based management: From theory to practice in health care. Milbank Quarterly, 2001, 73: 429-457, IV-V.
3. Petticrew M. Systematic reviews from astronomy to zoology: myths and misconceptions. BMJ (Clinical research ed.), 2001, 322: 98-101.
4. Mays N, Pope C, Popay J. Systematic reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. Journal of Health Services Research Policy, 2005, 10(suppl_1): 6-20.
5. Lavis JN, Davies HT, Gruen RL, et al. Working within and beyond the Cochrane Collaboration to make systematic reviews more useful to healthcare managers and policy makers. Healthcare Policy, 2006, 1: 21-33.
6. Lavis JN. How can we support the use of systematic reviews in policymaking? PLOS Medicine, 2009, 6: e1000141.
7. Lavis J, Oxman A, Grimshaw J, et al. SUPPORT Tools for evidence-informed health Policymaking (STP) 7: Finding systematic reviews. Health research policy and systems Central [serial online], 2009 [cited 2011 Jun 10]; 7 Suppl 1: S7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20018114.
8. Devereaux PJ, Choi PTL, Lacchetti C, et al. A systematic review and meta-analysis of studies comparing mortality rates of private for-profit and private not-for-profit hospitals. Canadian Medical Association Journal, 2002, 166: 1399-1406.
9. Commission on the Future of Health Care in Canada. Building on Values: The Future of Health Care in Canada. Ottawa, Canada: 2002.
10. Lavis JN, Panisset U. EVIPNet Africa’s first series of policy briefs to support evidence-informed policymaking. International Journal of Technology Assessment in Health Care, 2010, 26: 229-232.
11. Hayes SL, Mann MK, Morgan FM, et al. Collaboration between local health and local government agencies for health improvement. Cochrane Database of Systematic Reviews 2011, 6: CD007825. DOI: 10.1002/14651858.CD007825.
12. Gosden T, Forland F, Kristiansen IS, et al. Capitation, salary, fee-for-service and mixed systems of payment: Effects on the behavior of primary care physicians. Cochrane Database of Systematic Reviews, 2000, 3: CD002215. DOI: 10.1002/14651858.CD002215.
13. Lewis R, Neal RD, Williams NH, et al. Nurse-led vs. conventional physician-led follow-up for patients with cancer: Systematic review. Journal of Advanced Nursing, 2009, 65: 706-723.
14. Moat KA, Lavis JN, Wilson MG, et al. Twelve myths about systematic reviews for health system policymaking rebutted. J Health Servers Policy, 2013, 18(1): 44-50.
15. Albada A, Ausems MG, Bensing JM, et al. Tailored information about cancer risk and screening: A systematic review. Patient Education and Counseling, 2009, 77: 155-171.
16. 吕筠, 李立明. 循证公共政策与公共卫生改革路径. 人文杂志, 2006, (1): 146-151.
17. Roberts MJ, Hsiao W, Berman P, et al. Getting Health Reform Right: A Guide to Improving Performance and Equity. Oxford, UK: Oxford University Press, 2004.
18. 陈庆升. 救助管理政策反思——以证据为本与社会政策. 中外企业家, 2006, (10): 82-85.
19. Say L, Raine R. A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context. Bull World Health Organ, 2007, 85(10): 812-819.
20. Gravolin M, Rowell K, De Groot J. Interventions to support the decision-making process for older people facing the possibility of long-term residential care. The Cochrane Collaboration, 8 OCT 2008.
21. Paul M, Evan MW, Jane AD. Personal assistance for older adults (65+) without dementia. The Cochrane Collaboration, 21 JAN 2009.
22. Rockers PC, Feigl A, Rottingen RA, et al. Study-design selection criteria in systematic reviews of effectiveness of health systems interventions and reforms: A meta-review, 2006.
23. 曾宪涛, 冷卫东, 李胜, 等. 如何正确理解及使用GRADE系统. 中国循证医学杂志 2011, 11(9): 985-990.
24. Grimshaw J, Wilson B, Campbell M, et al. Epidemiological Methods, In: Fulop N, editor. Studying the Organisation and Delivery of Health Services: Research Methods, New York: Routledge, 2001.
25. 熊俊, 陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR. 中国循证医学杂志, 2011, 11(9): 1084-1089.
26. Shea B, Grimshaw J, Wells G, et al. Development of AMSTAR: A measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology [serial online], 2007[cited 2008 Jun 1];7: 10.Available from: http://www.biomedcentral.com/1471-2288/7/10.
27. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ (Clinical research Ed.), 2008, 336: 924-926.
28. Gruen R, Weeramanthri TS, Knight SE, et al. Specialist outreach clinics in primary care and rural hospital settings. Cochrane Database of Systematic Reviews, 2003, 4: CD003798. DOI: 10.1002/14651858.CD003798.
29. Flottorp S. Do specialist outreach visits in primary care and rural hosptial settings improve care. A SUPPORT Summary of a systematic review, 2008. [Serial online], 2008[cited 2009 Jun 25], 7(1): [24 screen]. Available http //www.supportcollaboration.org/summaries.htm.
30. Wiysonge CS, Okwundu CI. Does midwife-led care improve the delivery of care to women during and after pregnancy. A SUPPORT Summary of a systematic review, 2009[serial online] 2009 [cited 2010 Jun 15], 5(2). Available from: www.support-collaboration.org/summaries.htm.
31. Grobler LA, Marais BJ, Mabunda SA, et al. Interventions for increasing the proportion of health professionals practising in rural and other underserved areas. Cochrane Database of Systematic Reviews, 2009;2: CD005314. DOI: 10.1002/14651858.CD005314.
32. Ba¨rnighausen T, Bloom D. Financial incentives for return of service in underserved areas: A systematic review. BMC Health Services Research, 2009, 29: 86.
33. World Health Organization. Increasing access to health workers in remote and rural areas through improved retention. Geneva: World Health Organization, 2010.
34. Lavis JN, Davies HTO, Oxman A, et al. Towards systematic reviews that inform health care management and policy-making. Journal of Health Services Research Policy, 10(suppl_1): 35-48.
35. Bateganya MH, Abdulwadud OA, Kiene SM. Home-based HIV voluntary counseling and testing in developing countries. Cochrane Database of Systematic Reviews, 2007; 4: CD006493. DOI: 10.1002/14651858.CD006493.
36. Hopkins H, Talisuna A, Whitty CJ, et al. Impact of home-based management of malaria on health outcomes in Africa: A systematic review of the evidence. Malaria Journal, 2007, 6: 134.
37. Lavis JN, Oxman A, Souza N, et al. SUPPORT Tools for evidence-informed health Policymaking (STP) 9: Assessing the applicability of the findings of a systematic review. Health Research Policy and Systems, 7(Suppl 1): S9.
38. Sturm H, Austvol DA, Aaserud M, et al. Pharmaceutical policies: Effects of financial. Cochrane Database of Systematic Reviews, 2007; 3: CD006731. DOI: 10.1002/14651858.CD006731.
39. 曾宪涛, 李胜, 马钻, 等. Meta分析系列之八: Meta分析的报告规范. 中国循证心血管医学杂志, 2012, 4(6): 500-503.
40. 杨智荣, 詹思延. PROSPERO: 为非Cochrane系统评价全新打造的注册平台. 中华医学杂志, 2012, 92(6): 422-425.
41. Sheldon TA. Making evidence synthesis more useful for management and policy-making. Journal of Health Services Research Policy, 10 Suppl 1: 1-5.
42. Misso M, Green S, Brennan S, et al. Policy relevant summaries: Encouraging and supporting Australian policymakers to use Cochrane reviews. In: XV Cochrane Colloquium, Sao Paolo, Brazil: October, 2007: 23-27.

Chinese Journal of Evidence-Based Medicine

Top Ten Misunderstanding of Systematic Review in Health System Decisions

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