{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:46:46Z","timestamp":1791740806458,"version":"4.3.4"},"reference-count":10,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Evidence\u2010based clinical practice is grounded in research and interpretation of findings. Individual studies capture only part of the evidence relevant to a clinical question, making synthesis important for evaluating consistency and precision. Systematic reviews bring relevant studies together, and meta\u2010analyses use statistical methods to integrate findings. Umbrella reviews emerged to organise and contextualise findings across multiple reviews on a given topic. Convergence across umbrella reviews can support decision\u2010making, but apparent agreement does not necessarily represent independent confirmation when the same primary studies recur across reviews. Substantial overlap can also create apparent disagreement when similar evidence is analysed using different eligibility criteria, outcome selection, or statistical methods. Dependence among included syntheses can persist despite established methods for identifying and managing overlap. The number of concordant syntheses should not be mistaken for the number of independent lines of evidence.<\/jats:p>","DOI":"10.1111\/jep.70635","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:32:21Z","timestamp":1791739941000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can Umbrella Reviews Establish Consensus in Clinical Practice?"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2176-3907","authenticated-orcid":false,"given":"Thiago P.","family":"Fernandes","sequence":"first","affiliation":[{"name":"Federal University of Paraiba Joao Pessoa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natanael A.","family":"Santos","sequence":"additional","affiliation":[{"name":"Federal University of Paraiba Joao Pessoa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0020124"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebmed-2017-110668"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jebm.70092"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/rsm.2025.10040"},{"key":"e_1_2_4_6_1","doi-asserted-by":"crossref","unstructured":"J. P. T.Higgins J.Thomas J.Chandler et al. (Eds.). (2019).Cochrane Handbook for Systematic Reviews of Interventions(2nd ed.). John Wiley & Sons.https:\/\/doi.org\/10.1002\/9781119536604.","DOI":"10.1002\/9781119536604"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2018-300014"},{"key":"e_1_2_4_8_1","unstructured":"M.Pollock R. M.Fernandes L. A.Becker D.Pieper andL.Hartling(2024). Chapter V: Overviews of Reviews. InJ. P. T.Higgins J.Thomas J.Chandler M.Cumpston T.Li M. J.Page andV. A.Welch(Eds.) Cochrane Handbook for Systematic Reviews of Interventions(Version 6.5). Cochrane https:\/\/www.cochrane.org\/authors\/handbooks-and-manuals\/handbook\/current\/chapter-v."},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/EE9.0000000000000324"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2025.112018"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000003034"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70635","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70635","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70635","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:32:22Z","timestamp":1791739942000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70635"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jep.70635"],"URL":"https:\/\/doi.org\/10.1111\/jep.70635","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70635"}}