© 2003 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine
LEADER
Cochrane Reviews
Cochrane Reviews: new blocks on the kids
Lady Davis Institute for Medical Research, Montreal, Canada
Correspondence to:
Correspondence to:
Dr Shrier
Lady Davis Institute for Medical Research, Centre for Clinical Epidemiology, SMBD-Jewish General Hospital, 3755 Cote Sainte-Catherine Road, Montreal H3T 1E2, Canada; Ian.shrier@mcgill.ca
Keywords: Cochrane Review; Critical Review; systematic review
| The first 150 words of the full text of this article appear below. |
The Cochrane Collaboration should be congratulated for its dedication to documenting continuing clinical trials, teaching critical appraisal, and supporting research into new methods of reviewing the literature. However, Cochrane Reviews can be created by untrained people who simply follow an algorithmic approach and are unaware of important methodological issues. Therefore, the objective of this article is to highlight important limitations of Cochrane Reviews, including the Review Manager software1 that is required,2 the inappropriate use of a summary statistic, and finally the restriction to only randomised controlled trial (RCT) data. To illustrate these points, I have used a 1% random sample of Cochrane Reviewsthat is, 16 studies numbered 1, 101, 201...1501 of 1596 of the Cochrane Database on 3 April 2003.318
There are important limitations to the software required by the Cochrane Collaboration (Review Manager). Most important is that Review Manager cannot include (a) results based on
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Shrier, I., Boivin, J.-F., Steele, R. J., Platt, R. W., Furlan, A., Kakuma, R., Brophy, J., Rossignol, M.
(2007). Should Meta-Analyses of Interventions Include Observational Studies in Addition to Randomized Controlled Trials? A Critical Examination of Underlying Principles. Am J Epidemiol
166: 1203-1209
[Abstract] [Full Text]
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