Systematic reviews of adverse effects: framework for a structured approach
2007

Framework for Assessing Adverse Effects in Systematic Reviews

Sample size: 256 publication Evidence: moderate

Author Information

Author(s): Loke Yoon K, Price Deirdre, Herxheimer Andrew

Primary Institution: University of East Anglia

Hypothesis

How can systematic reviews effectively incorporate the assessment of adverse effects?

Conclusion

A structured approach is necessary for systematically reviewing adverse effects to ensure balanced clinical decision-making.

Supporting Evidence

  • Systematic reviews often focus only on treatment benefits, neglecting potential harms.
  • A framework is needed to guide reviewers in assessing adverse effects.
  • Strategic choices in the review process can influence the findings on harms.

Takeaway

When doctors look at how well a treatment works, they also need to check for any bad side effects to make sure it's safe.

Methodology

The framework was developed through consensus among experienced reviewers and experts in systematic review methodology.

Potential Biases

Potential biases may arise from the inclusion of observational studies and the varying quality of evidence.

Limitations

The study highlights the need for better methods in assessing adverse effects but does not empirically investigate the problematic areas identified.

Digital Object Identifier (DOI)

10.1186/1471-2288-7-32

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