Clarification of the distinction between Intervention Reviews and Overviews of Reviews

The main characteristic that distinguishes IRs from OoRs is the focus of the search. IRs perform a comprehensive search for all relevant primary studies, while OoRs find studies by searching for Cochrane Reviews or other systematic reviews. Consequently, the data extracted for IR are always study-specific data. Currently, pair-wise meta-analyses are used in IRs to compare interventions, but statistical synthesis using MTM could also be done in many cases, provided that the assumptions of this approach are fulfilled. The following table attempts to clarify the differences between IRs and OoRs.

Review type

Focus of search strategy

Focus of data collection

Focus of statistical synthesis

Comment

Intervention Review (IR)

Trials

Original trial reports

Trial data

A new review may be planned around a MTM (or indirect comparisons)

Overview of Reviews (OoR)

Reviews

Review reports (meta-analysis summary estimates from the reviews); or possibly original trial data

Meta-analysis summary estimates or trial data

Synthesis may involve indirect comparisons based on meta-analysis results, or re-analysis of trial data from either review reports or trial reports

Other sections of this report:

Addressing multiple interventions in Cochrane Intervention Reviews

Addressing multiple interventions in Cochrane Overviews of Reviews


Implications of Overviews for authors and editors of Intervention Reviews

A sequential approach for undertaking reviews that compare multiple-interventions

Role of the Cochrane Comparing Multiple Interventions Methods Group

Creation of Working Groups to tackle methodological and practical issues in comparing multiple interventions

Summary of recommendations