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Published in: BMC Medical Research Methodology 1/2022

Open Access 01-12-2022 | Research

Methodological assessment of systematic reviews of in-vitro dental studies

Authors: Christopher Hammel, Nikolaos Pandis, Dawid Pieper, Clovis Mariano Faggion Jr

Published in: BMC Medical Research Methodology | Issue 1/2022

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Abstract

Background

Systematic reviews of in-vitro studies, like any other study, can be of heterogeneous quality. The present study aimed to evaluate the methodological quality of systematic reviews of in-vitro dental studies.

Methods

We searched for systematic reviews of in-vitro dental studies in PubMed, Web of Science, and Scopus databases published up to January 2022. We assessed the methodological quality of the systematic reviews using a modified “A MeaSurement Tool to Assess systematic Reviews” (AMSTAR-2) instrument. The 16 items, in the form of questions, were answered with yes, no, or py (partial yes). Univariable and multivariable linear regression models were used to examine the association between systematic review characteristics and AMSTAR-2 percent score. Overall confidence in the results of the systematic reviews was rated, based on weaknesses identified in critical and non-critical AMSTAR-2 items.

Results

The search retrieved 908 potential documents, and after following the eligibility criteria, 185 systematic reviews were included. The most researched topics were ceramics and dental bonding. The overall rating for the confidence in the results was critically low in 126 (68%) systematic reviews. There was high variability in the response among the AMSTAR-2 items (0% to 75% positively answered). The univariable analyses indicated dental specialty (p = 0.03), number of authors (coef: 1.87, 95% CI: 0.26, 3.47, p = 0.02), and year of publication (coef: 2.64, 95% CI: 1.90, 3.38, p < 0.01) were significantly associated with the AMSTAR-2 percent score. Whereas, in the multivariable analysis only specialty (p = 0.01) and year of publication (coef: 2.60, 95% CI: 1.84, 3.35, p < 0.001) remained significant. Among specialties, endodontics achieved the highest AMSTAR-2 percent score.

Conclusions

The methods of systematic reviews of in vitro dental studies were suboptimal. Year of publication and dental specialty were associated with AMSTAR-2 scores. The overall rating of the confidence in the results was low and critically low for most systematic reviews.
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Metadata
Title
Methodological assessment of systematic reviews of in-vitro dental studies
Authors
Christopher Hammel
Nikolaos Pandis
Dawid Pieper
Clovis Mariano Faggion Jr
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Medical Research Methodology / Issue 1/2022
Electronic ISSN: 1471-2288
DOI
https://doi.org/10.1186/s12874-022-01575-z

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