Critical Appraisal Worksheet
Critical Appraisal Worksheet
Critical Appraisal Worksheet
Section: A Population-Based Study and Meta-analysis Journal/Year/Vol./Page: BMC Pregnancy and Childbirth/ 2011/ 11/1-10
A. ARE THE STUDY RESULTS VALID? 1. Did address the a overview Yes focused
clinical question? 2. Were the criteria used to select articles for inclusion appropriate? Yes
Yes
Yes
5. Were assesments of studies reproducible? 6. Were the results similar from study to study?
Yes
Yes
B. WHAT WERE THE RESULTS? 1. What are the overall results of the review?
C. CAN THE RESULTS BE APPLIED TO YOUR PATIEN(S)? 1. Can the results be applied to my patient (care)? Yes
Yes
3. Are the benefits worth the harms and costs? Manfaat cukup baik
Yes
CONCLUSIONS The results or recommendation are valid (from A) The results are clinically important (from B) The results are relevant to my practice (from C) Yes Yes Yes
Date: 09-01-2013
Complete Article Citation (APA format): Risk of Placenta Previa in Second Birth After First Birth Cesarian Section: A Population-Based Study and Meta-analysis
Appraisal (be sure to provide your comments - simple yes/no answers normally are not acceptable)
Were there clearly defined Yes groups of subjects, similar in all important ways other than exposure to the treatment or other cause? Were treatment exposures and clinical outcomes measured the same ways in both groups (e.g., was the assessment of outcomes either objective (e.g., death) or blinded to exposure)? Yes
Was the follow-up sufficiently long and complete? Do the results satisfy the common tests for causation (e.g., temporal, dose-response, biological plausibility)? What are the Results?* Questions How strong is the association between exposure & outcome? How precise is the estimate of the risk?
Yes
Cant tell Sejauh ini kami belum menemukan penelitian yang menjelaskan hubungan sebab akibat yg terjadi antara riwayat SC sebelumnya dengan kejadian plasenta previa pada kehamilan sekarang.
Adverse Outcome Present Exposed to treatment CS Delivery Vaginal Delivery RR = ((a/(a+b))/(c/(c+d))=(8,7/1000)/(4,4/1000)=1,98 8,7 4,4 Absent 991,6 995,6
How Can the Results Apply to Patient Care?* Questions Were the study patients and their management similar to mine? What is the magnitude of the risk/should I stop exposure? Untuk mengurangi angka kejadian plasenta previa maka kejadian SC pd kehamilan sebelumnya juga harus dikurangi yaitu dengan melaksanakan periksa Comments -
kehamilan dapat terdeteksi dini Do the results of this study fit with other available evidence? Yes Jurnal ini juga merupakan penelitian metaanalisis yang mengkaji beberapa publikasi dengan tujuan penelitian yang sama. Hasil penelitian ini dengan uji metaanalisis yang dilakukan sesuai.
Guyatt, G., & Rennie, D. (2002). Users' guides to the medical literature: Essentials of evidence-based clinical practice. Chicago: AMA Press. Heneghan, C. & Badenoch, D. (2006). Evidence-based medicine toolkit. 2nd ed. Malden, MA: Blackwell Publishing. McGibbon A, Eady A, & Marks S. (1999). PDQ Evidence-based principles and practices. Hamilton, OT: B.C. Decker. Sackett DL, Straus S, Richardson S, Rosenberg W, & Haynes RB. (2000). Evidence-based medicine: How to practice and teach EBM, 2nd ed. London: Churchill Livingstone