AMSTAR使用过程中存在的问题及建议

A Measure Tool to Assess Systematic Reviews(AMSTAR): a review of limitations and suggestions

AMSTAR作为目前最常用的系统评价方法学质量评价工具,具有良好的信效度。然而,有评价者指出AMSTAR在使用时存在一些问题,并提出相应指导性建议,涉及的问题包括某些条目解释不清楚、有些条目偏向于评价报告质量,而不是针对方法学质量评价等。因此,本研究旨在对AMSTAR存在的问题及其相应的建议进行总结,以期提高其实用性和确保方法学质量评价过程的准确性。

A Measure Tool to Assess Systematic Reviews （AMSTAR） appears to be the most frequently used tool to assess the methodological quality of systematic reviews of randomized controlled trials of interventions, which has demonstrated satisfactory reliability and validity. Nevertheless, some assessors have found it problematic, such as some items may be difficult to interpret, hindering accurate assessment, some items seem to assess the quality of reporting of a systematic review more than its methodological quality, and modified the tool. This paper reviews the limitations and suggestions of others along with the experience of our own, in order to improve the applicability of this checklist and make it more accurate.