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Clinical Anatomy
Article . 2025 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
Clinical Anatomy
Article . 2025
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Psychometric Properties of the Critical Appraisal Tool for Anatomical Meta‐Analysis

Authors: Anthony V. D'Antoni; Nancy Kamel; R. Shane Tubbs; Morgan G. McCartan; Laine W. Strobel; Kathleen C. Bubb;

Psychometric Properties of the Critical Appraisal Tool for Anatomical Meta‐Analysis

Abstract

ABSTRACTThe hallmark of evidence‐based anatomy (EBA) is the anatomical meta‐analysis (AMA). The Critical Appraisal Tool for Anatomical Meta‐Analysis (CATAM) was recently published to enable users to appraise AMAs quickly and effectively. The tool is valuable for students and clinicians who need to judge the quality of AMAs, which informs clinical decision making and results in better patient care. Subjective measures of the tool's face and content validity have been established, but establishing its reliability provides a more objective measure of the instrument's dependability. This study investigated the interrater reliability (IRR) of the CATAM between novice and expert raters. Three graduate students and three professors (two anatomists and one pharmacist) read the original CATAM paper, and then had a post hoc meeting to discuss scoring with the tool. Three recent AMAs (published between 2017 and 2022) were randomly chosen from PubMed, and all six raters scored the papers blindly. The intraclass correlation coefficient (ICC) statistic was used to calculate the interrater reliability (IRR) between all scores, and then the ICCs between novice and expert scores were compared. Cronbach's alpha (internal consistency) of the CATAM was also calculated (SPSS 25, Armonk, NY). ICC for AMA‐1 was 0.999 (95% CI, 0.997–0.999), p = 0.000, and alpha was 0.999. ICC for AMA‐2 was 0.994 (95% CI, 0.988–0.998), p = 0.000, and alpha was 0.994. ICC for AMA‐3 was 0.998 (95% CI, 0.995–0.999), p = 0.000, and alpha was 0.998. ANOVA showed no significant differences (p > 0.05) in mean ICCs between raters. The CATAM is a robust tool with excellent IRR (ICC > 0.990) and internal consistency (alpha > 0.990). No significant difference in ICC scores between novices and experts suggests the tool does not require prior expert knowledge to be effective. Now that the reliability of the CATAM is established, it can be more widely adopted by students and physicians worldwide to evaluate the quality of AMAs. The CATAM offers widespread applicability, and can be adopted in medical education, journal clubs, and clinical seminars to critically evaluate AMAs.

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Keywords

psychometrics, Observer Variation, validity, anatomy, reliability, Psychometrics, 610, Reproducibility of Results, meta-analysis, systematic review, Meta-Analysis as Topic, interrater reliability, Humans, evidence-based anatomy, Anatomy, evidence-based medicine, WCM Library Coordinated Deposit

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green