Evidence map›Paper›PMID 35063840›Full record

ArticleDrug and alcohol dependence2022

Alcohol use disorder: An analysis of the evidence underpinning clinical practice guidelines.

David Tanner, Kirstien Minley, Kelsey Snider, Micah Hartwell, Trevor Torgerson, Ryan Ottwell, Jason Beaman, Matt Vassar

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

David TannerOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States. Electronic address: davidtannerresearch@gmail.com.
Kirstien MinleyOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Kelsey SniderOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Micah HartwellOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Trevor TorgersonOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Ryan OttwellOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States; Department of Internal Medicine, University of Oklahoma, School of Community Medicine, Tulsa, OK, United States.
Jason BeamanOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Matt VassarOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.

Funding

A short-term summer research program for American Indian medical studentsT35AA028204 · NIAAA · OSU CENTER FOR HEALTH SCIENCES · PI VASSAR, MATT · 2020 to 2024
$227k
NIAAA NIH HHS T35 AA028204
6 · The paper itself

Abstract

backgroundAs Clinical Practice Guidelines (CPGs) provide effective guidance for providing medical care for individuals with alcohol use disorder (AUD), the evidence behind them should be robust.

objectiveOur primary objective was to critically appraise the methodological and reporting quality of systematic reviews cited within CPGs regarding the treatment of AUD. Our secondary objective was to determine how frequently Cochrane Reviews were cited as justification and to evaluate appraisals between Cochrane and non-Cochrane reviews.

methodsWe searched PubMed to identify CPGs for the treatment of AUD published between 2015 and 2021. Systematic reviews included in each CPG were evaluated using the Preferred Reporting Instrument for Systematic Reviews and Meta-Analyses (PRISMA) and a validated quality assessment tool (AMSTAR-2). Additional study characteristics were recorded.

resultsFrom the screening process, 98 systematic reviews from 6 CPGs met inclusion criteria. PRISMA adherence ranged from 72% to 85% (mean of 79%). AMSTAR-2 adherence ranged from 52% to 73% (mean of 68%). AMSTAR appraisal ratings found 32 (35.6%) critically low, 10 (11.1%) low, 35 (38.9%) moderate, and only 13 (14.4%) high systematic reviews. Cochrane systematic reviews displayed greater PRISMA (0.92 vs. 0.75: p < 0.001) and AMSTAR-2 (0.90 vs. 0.61.; p < 0.001) scores compared to the non-Cochrane studies.

conclusionSystematic reviews included in CPGs for AUD treatment showed variable adherence to PRISMA and AMSTAR-2 guidelines, with almost half of the systematic reviews being critically low to low methodological quality. Given the prevalence of alcohol use disorder, methodological and reporting quality recommendations are important to strengthening evidence informing CPGs.

Indexed as

AlcoholismHumansPractice Guidelines as TopicResearch DesignResearch ReportSystematic Reviews as TopicAlcohol-use disorderAMSTARClinical Practice GuidelinesEvidence-Based MedicinePRISMASystematic Review Methodology

Identifiers

PMID35063840
PMCPMC8885851

What OpenQuestion holds

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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.