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LEMBAR LATIHAN SCIENTIFIC PAPER APPRAISAL

(TELAAH KRITIS TULISAN ILMIAH)

Nama / kelompok : KELOMPOK E


NIM :-
Judul paper : Elevated Risk for HIV Infection among Men Who Have Sex with
Men in Low- and Middle-Income Countries 20002006:
A Systematic Review

Instruksi :
1. isilah kolom-kolom di bawah ini
2. beri garis bawah dengan tinta merah atau stabilo pada bagian paper yang telah anda
telaah

1. TELAAH KELENGKAPAN FORMAT PAPER :

Item telaah Ada / tidak (sebutkan

halamannya)
Judul (Title) Ada, halaman 1901
Abstrak dan/atau Ringkasan (Abstract and or Ada, halaman 1901

Summary)
Pendahuluan (Introduction, background) Ada, halaman 1902
Bahan dan Cara (Method) Ada, halaman 1902 1905
Hasil (Result) Ada, halaman 1905
Diskusi (Discussion) Ada, halaman 1905
Ucapan terima kasih/ penghargaan Ada, halaman 1908

(acknowledgement)
Daftar Pustaka (Reference) Ada, halaman 1908 1911

Kesimpulan : format lengkap/tidak lengkap

2. TELAAH VALIDITAS PENELITIAN

Tujuan penelitian : To investigate the global epidemic of HIV among MSM and the

relationship of MSM outbreaks to general populations (page 1901)

Metode penelitian
Item telaah Temuan (sebutkan berikut

halamannya)
Disain/rancangan (design) Systematic Review

1
Sesungguhnya disain penelitian

dalam artikel ini adalah meta-

analysis, meskipun judulnya

adalah systematic review. Coba

lihat pooled OR yang ada di

narasi maupun gambar. Selain itu,

dalam narasi juga disebutkan

meta-analysis.

Catatan: meta-analysis adalah

systematic review + analisis

statistik
* Tingkatan dalam hierarchy of evidence Peringkat 1
Sampel (sample) studies
including HIV prevalence data among MSM
populations
(including homosexual, bisexual, male sex
workers, transgender,
and other country-specific population of
MSM);
publication in a peer-reviewed journal; an
abstract at a
conference with peer-reviewed blinded
abstract selection
process; listed details regarding data
sampling techniques;
data collection started since January 1,
2000; studies in lowand
middle-income countries; and studies
taking place in
countries where UNAIDS has calculated a
general population
prevalence for 2006. If the studies were
not published in a
peer-reviewed journal, though
commissioned by governmentmanaged
epidemiologic monitoring agencies such as
European
Centre for the Epidemiological Monitoring
of AIDS
(EuroHIV) or the US Centers for Disease
Control and
Prevention (CDC), the studies were also
included. The
following medical subject heading (MESH)
terms were used
for PubMed, while the same terms were
used as keywords in
the other databases: Homosexual, Men
OR Homosexual
which were cross-referenced with the key
word (AND) HIV
(1,395 articles, 96 reviews) OR the MESH

2
term Human
Immunodeficiency Virus (107 articles,
four reviews) and
limited to reports in the English language,
published between
October 3, 2000, and the present date, and
pertaining to individuals 15 y of age and
older
(pp 1902-1903)
Artikel Ilmiah ( Published studies)

(Page 1911)
Ukuran sampel (sample size) 83 (Page 1911)(p. 1903)
Kriteria inklusi (eligibility criteria) studies
including HIV prevalence data among MSM
populations
(including homosexual, bisexual, male sex
workers, transgender,
and other country-specific population of
MSM);
publication in a peer-reviewed journal; an
abstract at a
conference with peer-reviewed blinded
abstract selection
process; listed details regarding data
sampling techniques;
data collection started since January 1,
2000; studies in lowand
middle-income countries; and studies
taking place in
countries where UNAIDS has calculated a
general population
prevalence for 2006. If the studies were
not published in a
peer-reviewed journal, though
commissioned by governmentmanaged
epidemiologic monitoring agencies such as
European
Centre for the Epidemiological Monitoring
of AIDS
(EuroHIV) or the US Centers for Disease
Control and
Prevention (CDC), the studies were also
included. The
following medical subject heading (MESH)
terms were used
for PubMed, while the same terms were
used as keywords in
the other databases: Homosexual, Men
OR Homosexual
which were cross-referenced with the key
word (AND) HIV
(1,395 articles, 96 reviews) OR the MESH
term Human
Immunodeficiency Virus (107 articles,
four reviews) and
limited to reports in the English language,
published between
October 3, 2000, and the present date, and
pertaining to individuals 15 y of age and
older
(pp 1902-1903)Studies

including HIV prevalence data

among MSM populations


3
(including homosexual, bisexual,

male sex workers, transgender,

and other country-specific population

of MSM);

publication in a peer-reviewed

journal; an abstract at a

conference with peer-reviewed

blinded abstract selection

process; listed details regarding data

sampling techniques;

data collection started since January

1, 2000; studies in low and

middle-income countries; and

studies taking place in

countries where UNAIDS has

calculated a general population

prevalence for 2006. (Page 1902)


Kriteria Eksklusi The exclusion

criteria were studies with a sample

size of less than 50, self reported

HIV status rather than serologic

testing, and if the

sample was a subset of another

population used in another

study (Page 1903)


Metode penentuan sampel (sampling frame) Total sampling
Metode pengumpulan data Ekstraksi / Penelusuran artikel

4
Cara pengukuran (measurement and or melalui search engine

assessment)
Instrumen yang dipergunakan (instrument) Search engine
Metode randomisasi (randomization) Tidak ada
Intervensi (intervention) Tidak ada
Metode analisis / pengolahan data (analysis Mengumpulkan jurnal yang

method) berdesain sama, kemudian diseleksi

kualitas dan eligibilitasnya. Jikalau

sudah diekstraksi lalu dicari

kesimpulannya.Dilakukan analisis

statistik untuk mendapatkan pooled

OR

Kesesuaian antara disain dan tujuan penelitian : sesuai / tidak sesuai

Kesesuaian cara pengukuran dan instrument yang dipergunakan : sesuai/tidak sesuai

Kesimpulan : valid / tidak valid (HANYA BERDASARKAN KEDUA KRITERIA DI ATAS)

3. TELAAH IMPORTANCE PENELITIAN

Komentar mengenai kesesuaian nilai RR/OR/PR dengan disain yang

dipergunakan. Sesuaikah pooled OR yang ditemukan dalam pebelitian ini dan disain

penelitiannya?

OR gabungan = 19.3

Artinya : pada sample, MSM ( Men who have Sex with Men) in low

and middle- income countries

Mempunyai resiko 19.3 kali lebih besar untuk terjangkit

HIV dibandingkan yang bukan MSM.

Confidence interval : 18.8 19.8

Artinya : pada populasi, MSM in low and middle- income countries

mempunyai risiko 18.8 19.8 kali lebih

5
besar terjangkiti HIV daripada yang bukan MSM.

P = 0.05

Artinya = Bila penelitian diulang 100 kali maka yang 95 kali persis

hasilnya (dengan yang tadi). Yang 5 kebetulan saja sama

(by chance). Good!

Jika anda mempunyai pasien dengan kasus yang sama, bagaimana importance

penelitian ini untuk kasus anda ?

Penting / tidak penting

Alasan : Karena dalam interval CI penelitian ini tidak terdapat angka 1

sehingga penelitian ini penting.

Karena dengan adanya penelitian ini, MSM dapat menyadari

probabilitasnya untuk terjangkit HIV lebih besar daripada

mereka yang bukan MSM. Oleh karena itu mereka dapat

lebih berhati-hati dalam menjaga dirinya untuk terhindar dari

inveksi HIV.

* 4. APPLICABILITY (KEMAMPUTERAPAN)

Pergunakan item pertimbangan di bawah ini untuk menilai kemamputerapan paper

dalam kasus anda

Pertimbangan applicability : 4 B

Item pertimbangan Keputusan


burden of illness (pasien, kota) sama/ tidak sama
barriers to treatment (ekonomi, geografi) sama/ tidak sama

6
behaviours needed (perilaku kita dan pasien kita) untuk Perlu banyak perubahan

mengadopsi Dx, Tx perilaku/ tidak perlu

banyak perubahan

perilaku
balance (pertimbangan untung rugi antara Untung / rugi

mengaplikasikan dengan cara yang ada di paper dan

cara yang ada dalam kasus)

Bagaimana applicability penelitian ini terhadap kasus anda ?

Applicable/tidak applicable

* = tidak perlu dikerjakan