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Resources for Researchers

Which appraisal tool should you use?

Answer up to four questions about the study in front of you. This will name the right tool, explain why it fits, and give you a sentence you can paste straight into your methods section.

Your pathway
    Step 1 of 6
    Step 1 of 6

    Is the study a review that synthesises findings from multiple primary studies?

    A review pools results from studies that already exist. A primary study collects its own data.

    Step 2 of 6

    What kind of review is it, and what are you assessing?

    If more than one applies, pick the one closest to your purpose — you can step back at any point.

    Step 2 of 6

    What kind of primary study is it?

    Choose the study design that best matches your research.

    AMSTAR 2

    AMSTAR 2 assesses the methodological quality of systematic reviews.

    Open Checklist

    Critical appraisal

    Why the tool you pick matters

    Critical appraisal is how you judge whether a piece of research is
    credible, well conducted and relevant to your question. It carries the
    most weight in systematic and scoping reviews, and in any evidence
    synthesis where the risk of bias in the studies you include determines
    how much your own conclusions can be trusted.

    Appraisal tools are not interchangeable. Each was written for a particular study design, and applying the wrong one produces an assessment that looks rigorous but tests the wrong things. CONSORT and the Cochrane Risk of Bias tool were built for randomised controlled trials. STROBE and ROBINS-I address observational studies. CASP and the JBI toolkits cover a wide range of designs including systematic reviews and qualitative work. Specialised instruments exist for particular formats — MMAT for mixed-methods studies, AGREE II for clinical practice guidelines.

    Whichever tool you choose, apply it consistently across every study in your review. If you are unsure, check with your research guide and follow the instructions in the tool’s own manual.

    Tool library

    Twelve tools, grouped by what they judge

    Appraisal tools ask whether a study was done well. Reporting guidelines ask whether it was described completely. Most reviews need both.

    AMSTAR 2

    Methodological quality and risk of bias in systematic reviews of healthcare interventions. The standard choice when a review is your unit of analysis.

    Appraisal URL not supplied

    MMAT

    Mixed Methods Appraisal Tool. For studies and reviews that combine qualitative and quantitative evidence.

    Appraisal URL not supplied

    PRISMA

    Reporting completeness of a published systematic review. Use when you are checking what was described, not what was done.

    Reporting URL not supplied

    CASP checklists

    Structured, approachable appraisal across many designs. Well suited to teaching and to a first appraisal.

    Appraisal URL not supplied

    QUADAS-2

    Risk of bias and applicability across four domains, for studies comparing a test against a reference standard.

    Appraisal URL not supplied

    CONSORT

    Reporting standard for randomised controlled trials. Pair it with CASP or JBI for the appraisal itself.

    Reporting URL not supplied

    STROBE

    Reporting standard for Reporting standard for cohort, case-control and cross-sectional studies. Runs alongside AXIS or Newcastle–Ottawa.cohort, case-control and cross-sectional studies. Runs alongside AXIS or Newcastle–Ottawa.

    Reporting URL not supplied

    Newcastle–Ottawa Scale

    Star-based quality assessment for cohort and case-control studies. Widely used in meta-analysis.

    Appraisal URL not supplied

    AXIS

    Quality and reporting in cross-sectional studies, where prevalence or characteristics are measured at one point in time.

    Appraisal URL not supplied

    CARE

    Reporting guideline for single case reports and small case series.

    Reporting URL not supplied

    CHEERS / Drummond

    For economic evaluations assessing cost, value or resource allocation of an intervention.

    Reporting URL not supplied


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