We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Original Investigation |

Compliance of Systematic Reviews in Plastic Surgery With the PRISMA Statement

Seon-Young Lee, BMedSc1; Harkiran Sagoo, BSc(Hons)2; Katharine Whitehurst, BSc(Hons)3; Georgina Wellstead, BSc(Hons)4; Alexander J. Fowler, BSc(Hons), MBBS5; Riaz A. Agha, BSc(Hons), MBBS, MSc(Oxf), MRCSEng, FHEA, FRSPH6; Dennis Orgill, MD, PhD7
[+] Author Affiliations
1Faculty of Medicine, Southampton Medical School, Southampton, England
2Guy’s Kings and St Thomas’ School of Medical Education, London, England
3University College London, London, England
4Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, England
5Bart’s and The London School of Medicine, London, England
6Guy’s and St Thomas’ NHS Foundation Trust and Balliol College, University of Oxford, Oxford, England
7Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
JAMA Facial Plast Surg. 2016;18(2):101-105. doi:10.1001/jamafacial.2015.1726.
Text Size: A A A
Published online

Importance  Systematic reviews attempt to answer research questions by synthesizing the data in primary articles. They are an increasingly important tool within evidence-based medicine, guiding clinical practice, future research, and health care policy.

Objective  To determine the reporting quality of recent systematic reviews and meta-analyses in plastic surgery with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement.

Methods  MEDLINE and EMBASE were searched for systematic reviews published between January 1, 2013, and December 31, 2014, in 5 major plastic surgery journals. Screening, identification, and data extraction were performed independently by 2 teams. Articles were reviewed for compliance with reporting of 27 items in the PRISMA checklist. Data analysis was conducted from January 1 to July 30, 2015.

Main Outcomes and Measures  The sum of PRISMA checklist items (1-27) per systematic review.

Results  From an initial set of 163 articles, 79 met the inclusion criteria. The median PRISMA score was 16 of 27 items (59%) (range, 6%-26%; 95% CI, 14%-17%). Compliance varied between individual PRISMA items. It was poorest for items related to the use of review protocol (item 5; 4 articles [5%]) and presentation of data on the risk of bias of each study (item 19; 14 articles [18%]). Compliance was the highest for description of rationale (item 3; 78 articles [99%]), sources of funding and other support (item 27; 75 articles [95%]), and inclusion of a structured summary in the abstract (item 2; 75 articles [95%]).

Conclusions and Relevance  The reporting quality of systematic reviews in plastic surgery requires improvement. Enforcement of compliance through journal submission systems, as well as improved education, awareness, and a cohesive strategy among all stakeholders, is called for.

Level of Evidence  NA.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?


Place holder to copy figure label and caption
Figure 1.
Articles Reviewed and Selected

Illustration of how the articles were reviewed.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Compliance of 79 Systematic Reviews With the PRISMA Statement

The number of articles are shown according to the different levels of compliance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Evidence Summary and Review