Decisions in healthcare should be based on information obtained according to the principles of Evidence-Based Medicine (EBM). An increasing number of systematic reviews are published which summarize the results of prevalence studies. Interpretation of the results of these reviews should be accompanied by an appraisal of the methodological quality of the included data and studies. The critical a...

There has been too much of a one-way flow drift down a river of evidence. Researchers from rich countries have produced the primary evidence which they proceed to summarise within reviews. These summaries have directed care worldwide. However, things are changing and the river of evidence can flow in the other direction. The care of women with eclampsia has been changed or refined throughout th...

Abstract The question of how citation impact relates to academic quality accompanies every decade in bibliometric research. Although experts have employed more complex conceptions research for responsible evaluation, detailed analyses dimensions such as methodological rigor are lacking. But the increasing number formal guidelines biomedical offer not only potential understand social dynamics st...