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Slides: 1–12 of 69

Considerations for Observational Comparative Effectiveness Research Study Size Planning

Background: Glucosamine and Chondroitin

Rating the Strength of Evidence From the CER

Consider the Contribution of an Individual Study to the Body of Evidence. This slide shows how characteristics of the individual study relate to domains evaluating the strength of the body of evidence. Each characteristic of the individual study is linked by an arrow to a domain for the strength of the body of evidence. The slide shows that the quality or internal validity of a study (i.e., limitations of study design and conduct) is one of several ways in which an individual study can contribute to the body of evidence. When evaluating the strength of the entire body of evidence, the quality of the study and the type of design influence the evaluation of the risk of bias for the entire body of evidence. The direction and magnitude of the results influence considerations of consistency of the body of evidence. The size of the study could result in nonsystematic or random error; it influences considerations of precision of the body of evidence. The relevance of the results to the key questions influences the evaluation of directness of the body of evidence. The relevance of the study sample to the population(s) of interest influences the assessment of applicability or generalizability of the body of evidence.

Consider the Contribution of an Individual Study to the Body of Evidence

Arrive at a Comprehensive Judgment of Quality. After assessment of individual criteria, assign ratings of “good,” “fair,” or “poor” (attributes described in later slides). Assess quality for each outcome of interest. Base ratings on the evaluation of likely effect of design or execution flaws on internal validity, rather than a nominal failure to meet every quality criterion. Adjudicate differences between raters in a transparent manner when two raters independently assess overall quality.

Arrive at a Comprehensive Judgment of Quality

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