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Methodological quality (risk of bias) assessment tools for primary and secondary medical studies: what are they and which is better?

Lin-Lu MaYun-Yun WangZhi-Hua YangDi HuangHong WengXian-Tao Zeng
Published in: Military Medical Research (2020)
Methodological quality (risk of bias) assessment is an important step before study initiation usage. Therefore, accurately judging study type is the first priority, and the choosing proper tool is also important. In this review, we introduced methodological quality assessment tools for randomized controlled trial (including individual and cluster), animal study, non-randomized interventional studies (including follow-up study, controlled before-and-after study, before-after/ pre-post study, uncontrolled longitudinal study, interrupted time series study), cohort study, case-control study, cross-sectional study (including analytical and descriptive), observational case series and case reports, comparative effectiveness research, diagnostic study, health economic evaluation, prediction study (including predictor finding study, prediction model impact study, prognostic prediction model study), qualitative study, outcome measurement instruments (including patient - reported outcome measure development, content validity, structural validity, internal consistency, cross-cultural validity/ measurement invariance, reliability, measurement error, criterion validity, hypotheses testing for construct validity, and responsiveness), systematic review and meta-analysis, and clinical practice guideline. The readers of our review can distinguish the types of medical studies and choose appropriate tools. In one word, comprehensively mastering relevant knowledge and implementing more practices are basic requirements for correctly assessing the methodological quality.
Keyphrases
  • randomized controlled trial
  • healthcare
  • primary care
  • clinical trial
  • public health
  • climate change
  • mental health
  • mass spectrometry
  • risk assessment
  • cross sectional
  • health information
  • placebo controlled