A reasonable peer reviewer would not reject results because the systematic review authors changed a scale. Instead, he or she would ask: what is your rationale of changing the scale, is the change justified? What is the impact of changing?
So tell me what is the problem?
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Jack Turban MD
@jack_turban
The Cass report systematic review methodology doesn’t match its PROSPERO pre-registration.
The authors used an entirely different scale (an adapted one they created) instead of the scale from their pre-registration.
That’s about as big of a bias red flag as there is.
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