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• W3003879372 endingPage "e000016" @default.
• W3003879372 startingPage "e000016" @default.
• W3003879372 abstract "Systematic reviews (SRs) of computer-assisted (CA) total knee arthroplasty (TKA) and total hip arthroplasty (THA) report conflicting evidence on its superiority over conventional surgery. Little is known about the quality of these SRs; variability in their methodological quality may be a contributing factor. We evaluated the methodological quality of all published SRs to date, summarized and examined the consistency of the evidence generated by these SRs.We searched four databases through December 31, 2018. A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR 2) was applied to assess the methodological quality. Evidence from included meta-analyses on functional, radiological and patient-safety outcomes was summarized. The corrected covered area was calculated to assess the overlap between SRs in including the primary studies.Based on AMSTAR 2, confidence was critically low in 39 of the 42 included SRs and low in 3 SRs. Low rating was mainly due to failure in developing a review protocol (90.5%); providing a list of excluded studies (81%); accounting for risk of bias when discussing the results (67%); using a comprehensive search strategy (50%); and investigating publication bias (50%). Despite inconsistency between SR findings comparing functional, radiological and patient safety outcomes for CA and conventional procedures, most TKA meta-analyses favored CA TKA, whereas most THA meta-analyses showed no difference. Moderate overlap was observed among TKA SRs and high overlap among THA SRs.Despite conclusions of meta-analyses favoring CA arthroplasty, decision makers adopting this technology should be aware of the low confidence in the results of the included SRs. To improve confidence in future SRs, journals should consider using a methodological assessment tool to evaluate the SRs prior to making a publication decision." @default.
• W3003879372 created "2020-02-07" @default.
• W3003879372 creator A5029332377 @default.
• W3003879372 creator A5054162136 @default.
• W3003879372 creator A5064441901 @default.
• W3003879372 creator A5067364506 @default.
• W3003879372 date "2020-01-01" @default.
• W3003879372 modified "2023-10-07" @default.
• W3003879372 title "An umbrella review comparing computer-assisted and conventional total joint arthroplasty: quality assessment and summary of evidence" @default.
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• W3003879372 doi "https://doi.org/10.1136/bmjsit-2019-000016" @default.
• W3003879372 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35047783" @default.
• W3003879372 hasPublicationYear "2020" @default.
• W3003879372 type Work @default.

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