Systematic review: better or (otherwise) misleading for clinical decision?
Muhammad Bayu Sasongko Hardyanto Soebono
(1*)
(1) 
(*) Corresponding Author
Abstract
Systematic review is a method to combine multiple sources of evidence through an explicit and reproducible way of literature search and critical appraisal of the quality of included studies, with or without mathematical methods to synthesis these information. Since this method was first introduced more than centuries ago, systematic review has been increasingly popular and widely used particularly in the area of medicine. Systematic review is often very useful to physicians to help supporting the clinical decision making and significantly reducing their time to seek for appropriate evidence. However, despite its reproducible and systematic steps to substantially minimize the presence of biases, physicians should still be aware that systematic review is not completely biases resistant. Inclusion of poor quality studies, heterogeneity, and publication or other reporting biases are commonly evident in systematic review that may hinder the quality of the conclusion. This review summarizes the core principals of systematic review and its potential biases, and discusses when the systematic review is useful or needing careful attention. Key words: treatment-scientific evidence- meta-analysis- critical appraisal-outcomes
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Copyright (c) 2015 Muhammad Bayu Sasongko Hardyanto Soebono
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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License . Based on a work at http://jurnal.ugm.ac.id/bik/ .