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Table 5 Review flow reporting, included studies, outcomes and analyses in the included systematic reviews (the HTA data were collected for this study; all other data are from Page et al. [1], i.e. the data collected for 300 systematic reviews for a single month in 2004 and 2014)

From: Nature and reporting characteristics of UK health technology assessment systematic reviews

Characteristic

2004 n = 300 [1]

HTA 2004 n = 23

HTA 2014 n = 30

Cochrane 2014 n = 45 [1]

2014 n = 300 [1]

Review flow reporting

PRISMA-like flow diagram (and text)

- (7%)

13 (57%)

29 (97%)

23 (51%)

206 (69%)

Text/tables or flowchart only

- (35%)

8 (35%)

1 (3%)

5 (11%)

20 (7%)

Partially reported

- (33%)

0

0 (0%)

7 (16%)

38 (13%)

Not reported

- (31%)

2 (9%)

0 (0%)

10 (22%)

36 (12%)

Reasons for exclusion of full text articles reported

PRISMA-like flow diagram and text/tables

- (48%)

15 (65%)

27 (91%)

41 (91%)

211 (70%)

Partial (only reasons for some exclusions provided)

- (40%)

5 (22%)

1 (3%)

4 (9%)

28 (9%)

Not reported

- (17%)

3 (13%)

2 (7%)

0 (0%)

61 (20%)

Grey literature included in review

Yes

NR

18 (78%)

9 (30%)*

8 (18%)

26 (9%)

Total number of included participants reported

In main text

NR

2/23 (9%)

4/28 (14%)

39/42 (93%)

194/296 (66%)

In abstract

NR

1/23 (4%)

4/28 (14%)

37/42 (88%)

147/296 (50%)

At least one outcome reported in Methods

NR

21/23 (96%)

30 (100%)

45 (100%)

234 (78%)

A specified primary outcome

- (51%)

6 (26%)

16 (53%)

43(96%)

136/288 (47%)

Meta-analysis

No (includes empty reviews or reviews with a statement that studies could not be combined)

NR

12 (52%)

15 (50%)

13 (29%)

111 (37%)

Yes

NR

11 (47%)

15 (50%)

32 (71%)

189 (63%)

Statistical heterogeneity investigated

Quantitative

- (91%)

9/11 (82%)

13 (87%)

32/32 (100%)

175/189 (93%)

Not reported

NR

2/11 (18%)

1/15 (7%)

0 (0%)

12 (7%)

Risk of bias incorporated in meta-analysis

NR

0/23 (0%)

1/15 (7%)

4/32 (13%)

31/189 (16%)

Publication bias

Formally assessed (Funnel plot etc.)

NR

0/23 (0%)

6/30 (20%)

7 (16%)

93 (31%)

Not assessed, but planned if sufficient studies

NR

1/23 (4%)

2/30 (7%)

28 (62%)

37 (12%)

Possibility discussed/considered in results, discussion etc.

- (31%)

0/23 (0%)

6/30 (20%)

29 (64%)

141 (47%)

GRADE assessment reported

NR

0 (0%)

0 (0%)

27 (60%)

32 (11%)

Limitations reported in Discussion/Conclusion

At study level and review level

NR

11 (49%)

19 (63%)

32 (71%)

173 (58%)

Study-level only

NR

10 (44%)

6 (20%)

10 (22%)

67 (22%)

Review-level only

NR

0

3 (10%)

0 (0%)

27 (9%)

Not reported

NR

2 (7%)

2 (7%)

  

Risk of bias / quality assessment reported

In Abstract (Therapeutic reviews only)

NR

7/16 (44%) [63%‡]

8/14a (57%) [79%b]

42 (93%)

99/164 (60%)

  1. HTA Health Technology Assessment, PRISMA Preferred Reporting Items for Systematic Reviews and Meta-Analyses, GRADE Grading of Recommendations Assessment, Development and Evaluation (short GRADE); aExcluding two empty reviews bPercentage that include this in Executive or Scientific Summary