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Colombian Journal of Anestesiology
Print version ISSN 0120-3347On-line version ISSN 2256-2087
Abstract
PIZARRO, Ana Beatriz; CARVAJAL, Sebastián and BUITRAGO-LOPEZ, Adriana. Assessing the methodological quality of systematic reviews using the AMSTAR tool. Rev. colomb. anestesiol. [online]. 2021, vol.49, n.1, e501. Epub Jan 04, 2021. ISSN 0120-3347. https://doi.org/10.5554/22562087.e913.
Introduction
Making decisions based on evidence has been a challenge for health professionals, given the need to have the tools and skills to carry out a critical appraisal of the evidence and assess the validity of the results. Systematic reviews of the literature (SRL) have been used widely to answer questions in the clinical field. Tools have been developed that support the appraisal of the quality of the studies. AMSTAR is one of these, validated and supported by reproducible evidence, which guides the methodological quality of the SRL.
Objectives
To show a historical, theoretical and practical guide for critical assessment of systematic reviews using AMSTAR to guide the argumental bases for their use according to the components of this methodological structure in health research, and to provide practical examples of how to apply this checklist.
Methods
We conducted a non-exhaustive review of literature in Pubmed and Cochrane Library using "AMSTAR" and "Systematic Reviews" as free terms without language or publication date limit; we also collected information from experts in the evaluation of the quality of the evidence.
Conclusions
AMSTAR is an instrument used, validated and supported by reproducible evidence for the evaluation of the internal validity of systematic reviews of the literature. It consists of 16 items that assess the overall methodological quality of a SRL. It is currently used indiscriminately and favorably, but it is not exempt from limitations and future updates based on new reproducibility and validation studies.
Keywords : AMSTAR; systematic review; quality assessment; clinical evidence; reliability; validity; epidemiological methods; meta-analysis as topic.