Quality assessment of systematic reviews on international migrant healthcare interventions: a systematic review
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REVIEW ARTICLE
Quality assessment of systematic reviews on international migrant healthcare interventions: a systematic review Eric Nwachukwu Agbata 1 & Diana Buitrago-Garcia 2,3 & Solange Nunez-Gonzalez 2 & Syeda Shanza Hashmi 4 & Kevin Pottie 5,6 & Pablo Alonso-Coello 7,8 & Ingrid Arevalo-Rodriguez 2,8,9 Received: 10 February 2020 / Accepted: 23 September 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Aim The significant increase in international cross-border migrations remains a global public health concern; therefore, the need for migrant-specific evidence-based interventions is critical. We assessed the methodological and reporting quality of systematic reviews (SRs) focused on migrant healthcare interventions. Methods We systematically searched in five electronic databases from 2007 to April 2020 to identify SRs on migrant health. Two independent reviewers assessed risk of bias, methodological and reporting quality in included systematic reviews (SRs) using ROBIS, AMSTAR-2 and PRISMA checklist, respectively. Results We included 57 systematic reviews. The quality in 30 SRs (52.6%) was either low or critically low due to limitations in AMSTAR-2 items 4, 7, 8 and 10–16. The overall risk of bias was high in 23 SRs (40.4%), particularly in domains—data collection and study quality—20 SRs (35.1%), synthesis and findings—19 SRs (33.3%), and study identification and selection 13 SRs (22.8%). The quality of reporting in 36 SRs (63.2%) was moderate, with 19.74 ± 4.67 items fulfilled. While 19 SRs (33.3%) had 10–18 PRISMA items satisfied. Sixteen SRs (28.1%) reported a research protocol and registration. Conclusions The overall quality of migrant SRs is suboptimal, with critical gaps linked to low protocol registrations, assessment of risk of bias and publication bias, additional analysis of synthesized evidence and available funding. These findings reflect current deficiencies in the development of SR on migrant healthcare. Keywords Migrant healthcare . Quality assessment, AMSTAR-2 tool . ROBIS . PRISMA checklist . Systematic reviews
* Eric Nwachukwu Agbata [email protected] Diana Buitrago-Garcia [email protected] Syeda Shanza Hashmi [email protected]
2
Centro de Investigacion en Salud Pública y Epidemiologia Clínica (CISPEC); Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito, Ecuador
3
Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
4
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
5
Centre for Global Health Institute of Population Health, University of Ottawa, Ottawa, ON, Canada
6
C.T. Lamont Primary Health Care Research Centre, Bruyere Research Institute, Ottawa, ON, Canada
7
Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
8
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
9
Clinical Biostatistics Unit, Hospital Universitario Ramón y Cajal (IRYCIS), 28034 Madrid, Spain
Kevin Pottie [email protected] Pablo Alon
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