Evidence map›Paper›PMID 29709028›Full record

SynthesisPloS one2018

Mapping the characteristics of network meta-analyses on drug therapy: A systematic review.

Fernanda S Tonin, Laiza M Steimbach, Antonio M Mendes, Helena H Borba, Roberto Pontarolo, Fernando Fernandez-Llimos

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Fernanda S ToninPharmaceutical Sciences Postgraduate Programme, Federal University of Parana, Curitiba, Parana, Brazil.
Laiza M SteimbachPharmaceutical Sciences Postgraduate Programme, Federal University of Parana, Curitiba, Parana, Brazil.
Antonio M MendesPharmaceutical Sciences Postgraduate Programme, Federal University of Parana, Curitiba, Parana, Brazil.
Helena H BorbaDepartment of Pharmacy, Federal University of Parana, Curitiba, Parana, Brazil.
Roberto PontaroloDepartment of Pharmacy, Federal University of Parana, Curitiba, Parana, Brazil.
Fernando Fernandez-LlimosResearch Institute for Medicines (iMed.ULisboa), Universidade de Lisboa, Lisbon, Portugal.ORCID 0000-0002-8529-9595
Universidade Federal do Paraná · BRUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNetwork meta-analysis (NMA) is a new tool developed to overcome some limitations of pairwise meta-analyses. NMAs provide evidence on more than two comparators simultaneously. This study aimed to map the characteristics of the published NMAs on drug therapy comparisons.

methodsA systematic review of NMAs comparing pharmacological interventions was performed. Searches in Medline (PubMed) and Scopus along with manual searches were conducted. The main characteristics of NMAs were systematically collected: publication metadata, criteria for drug inclusion, statistical methods used, and elements reported. A methodological quality score with 25 key elements was created and applied to the included NMAs. To identify potential trends, the median of the publication year distribution was used as a cut-off.

resultsThe study identified 365 NMAs published from 2003 to 2016 in more than 30 countries. Randomised controlled trials were the primary source of data, with only 5% including observational studies, and 230 NMAs used a placebo as a comparator. Less than 15% of NMAs were registered in PROSPERO or a similar system. One third of studies followed PRISMA and less than 9% Cochrane recommendations. Around 30% presented full-search strategies of the systematic review, and 146 NMAs stated the selection criteria for drug inclusion. Over 75% of NMAs presented network plots, but only half described their geometry. Statistical parameters (model fit, inconsistency, convergence) were properly reported by one third of NMAs. Although 216 studies exhibited supplemental material, no data set of primary studies was available. The methodological quality score (mean 13·9; SD 3·8) presented a slightly positive trend over the years.

conclusionThe map of the published NMAs emphasises the potential of this tool to gather evidence in healthcare, but it also identified some weaknesses, especially in the report, which limits its transparency and reproducibility.

Indexed as

Drug TherapyNetwork Meta-Analysis as TopicAlgorithmsBayes TheoremDecision MakingHumansInternetMEDLINEPharmaceutical PreparationsReproducibility of ResultsResearch DesignSoftwarePharmaceutical Preparations

Identifiers

PMID29709028
PMCPMC5927429
OpenAlexW2801157103

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.