TY - JOUR
T1 - Harms in Systematic Reviews Paper 1
T2 - An introduction to research on harms
AU - Qureshi, Riaz
AU - Mayo-Wilson, Evan
AU - Li, Tianjing
N1 - Publisher Copyright:
© 2021
PY - 2022/3
Y1 - 2022/3
N2 - Objective: Most systematic reviews of interventions focus on potential benefits. Common methods and assumptions that are appropriate for assessing benefits can be inappropriate for harms. This paper provides a primer on researching harms, particularly in systematic reviews. Study Design and Setting: Commentary describing challenges with assessing harm. Results: Investigators should be familiar with various terminologies used to describe, classify, and group harms. Published reports of clinical trials include limited information about harms, so systematic reviewers should not depend on these studies and journal articles to reach conclusions about harms. Visualizations might improve communication of multiple dimensions of harms such as severity, relatedness, and timing. Conclusion: The terminology, classification, detection, collection, and reporting of harms create unique challenges that take time, expertise, and resources to navigate in both primary studies and evidence syntheses. Systematic reviewers might reach incorrect conclusions if they focus on evidence about harms found in published reports of randomized trials of a particular health problem. Systematic reviews could be improved through better identification and reporting of harms in primary studies and through better training and uptake of appropriate methods for synthesizing evidence about harms.
AB - Objective: Most systematic reviews of interventions focus on potential benefits. Common methods and assumptions that are appropriate for assessing benefits can be inappropriate for harms. This paper provides a primer on researching harms, particularly in systematic reviews. Study Design and Setting: Commentary describing challenges with assessing harm. Results: Investigators should be familiar with various terminologies used to describe, classify, and group harms. Published reports of clinical trials include limited information about harms, so systematic reviewers should not depend on these studies and journal articles to reach conclusions about harms. Visualizations might improve communication of multiple dimensions of harms such as severity, relatedness, and timing. Conclusion: The terminology, classification, detection, collection, and reporting of harms create unique challenges that take time, expertise, and resources to navigate in both primary studies and evidence syntheses. Systematic reviewers might reach incorrect conclusions if they focus on evidence about harms found in published reports of randomized trials of a particular health problem. Systematic reviews could be improved through better identification and reporting of harms in primary studies and through better training and uptake of appropriate methods for synthesizing evidence about harms.
KW - Clinical Trials
KW - Harms
KW - Meta-analysis
KW - Synthesis
KW - Systematic Reviews
UR - http://www.scopus.com/inward/record.url?scp=85120457545&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85120457545&partnerID=8YFLogxK
U2 - 10.1016/j.jclinepi.2021.10.023
DO - 10.1016/j.jclinepi.2021.10.023
M3 - Article
C2 - 34742788
AN - SCOPUS:85120457545
SN - 0895-4356
VL - 143
SP - 186
EP - 196
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
ER -