LEMBAR LATIHAN SCIENTIFIC PAPER APPRAISAL

(TELAAH KRITIS TULISAN ILMIAH)

Kelompok : A
Judul paper : Maternal Smoking and Low Birthweight in the Reproductive History
of Women in Puerto Rico, 1982

1. TELAAH KELENGKAPAN FORMAT PAPER :

Item telaah Ada / tidak (sebutkan halamannya)

Judul (Title) Ada, pada halaman 268
Abstrak dan/atau Ringkasan (Abstract and or Ada, berupa abstrak pada halaman
268
Summary)
Pendahuluan (Introduction, background) Ada, pada halaman 268
Bahan dan Cara (Method) Ada, pada halaman 268-269
Hasil (Result) Ada, pada halaman 269-270
Diskusi (Discussion) Ada, pada halaman 271-272
Ucapan terima kasih/ penghargaan Ada, pada halaman 272

(acknowledgement)
Daftar Pustaka (Reference) Ada, pada halaman 272

Kesimpulan : format lengkap/tidak lengkap

2. TELAAH VALIDITAS PENELITIAN

Tujuan penelitian : This paper focuses on the association between smoking and LBW
in Puerto Ricans living in Puerto Rico (hal?)

Metode penelitian
Item telaah Temuan (sebutkan berikut
halamannya)
Disain/rancangan (design) Cross Sectional Survey
* Tingkatan dalam hierarchy of evidence Peringkat 5
Sampel (sample) Women ages 15-49 years and
babies that weight is less than
2500 gr
(Abstract, p. 268)
Women and Baby in Puerto Rico
in the year 1982
Ukuran sampel (sample size) 3,175 Women and 4,444 Babies
(p. 268)
3175 Women and 4444 Babies
In 1982, a representative sample of

1
 3,175 women ages 15 to 49 years
living in Puerto Rico were
interviewed and complete
reproductive histories obtained.
Births to mothers who started
smoking regularly at some time
before delivery and who were still
smoking at the time of the interview
(the exposure definition) were
compared with unexposed births.
Our analysis of 4,444 single, live
births delivered in public and private
hospitals from 1946 through 1982
demonstrates .... Am J Public
Health 1988; 78:268-272.
(Abstract, p.268)
Kriteria inklusi (eligibility criteria) Women ages 15-49 years and
babies that weight is less than
2500 gr
In 1982, a representative sample of
3,175 women ages 15 to 49 years
living in Puerto Rico were
interviewed.... Our analysis of 4,444
single, live births delivered in public
and private hospitals from 1946
through 1982 demonstrates that
births to smoking women aged 20
and older delivering in public
hospitals were 2.5 times more likely
to weigh less than 2,500 grams....
Am J Public Health 1988; 78:268-
272.
(Abstract)

Kriteria eksklusi 1. Excluded multiply births and

those infants whose birthweight
2
 and/or birthdate were unknown
Almost two-thirds (63 per cent) of
the women in the sample with
completed interviews had had at
least one live birth. These 2,012
women had delivered 5,884 infants
(from 1946 through 1982). After we
excluded multiple births(N= 113) and
those infants whose birthweight
and/or birthdatewere unknown,
5,526 single births remained in the
sample. In order to improve the
accuracy of the information on
birthweight, only singletons born in
hospitals (N=5,176) were considered
for inclusion in the final analysis.
Except forthe estimate in the data
quality section of this paper, all other
estimates are unweighted to provide
consistency throughout the paper.
(Methods, paragraph three, p.268)
2. Weexcludedthoseinfants
whocouldnotbeclassified
by
thethreequestions(Table
1),includingthosewhose
mother
hadbeenasmokerbuthad
quitbythetimeofthe
interview.
(p. 268)
Metode penentuan sampel (sampling frame) Two stages stratified cluster
sample
The sampling scheme of the
PRFFPA included a twostage
stratified cluster sample
representative of the entire
population of Puerto Rico. A total of

3
 4,500 households were selected to
screen for eligible respondents.
Ninety-five per cent of the eligible
respondents completed
questionnaires. Any woman age 15-
49 who resided in a selected house
was eligible; 3,493 eligible women
were identified. The questionnaire
completion rate for this second stage
was 90.9 per cent (N=3,175).
(Methods, paragraph two, p.268)
Metode pengumpulan data Interview
Cara pengukuran (measurement and or In 1982, a representative sample of
assessment) 3,175 women ages 15 to 49 years
living in Puerto Rico were
interviewed and complete
reproductive histories obtained. ....
Am J Public Health 1988; 78:268-
272.
(Abstract,p.268)
Instrumen yang dipergunakan (instrument) Questionnaires
The sampling scheme of the
PRFFPA included a twostage
stratified cluster sample
representative of the entire
population of Puerto Rico. A total of
4,500 households were selected to
screen for eligible respondents.
Ninety-five per cent of the eligible
respondents completed
questionnaires. Any woman age 15-
49 who resided in a selected house
was eligible; 3,493 eligible women
were identified. The questionnaire
completion rate for this second stage
was 90.9 per cent (N=3,175).
4
 (Methods, paragraph two, p.268)
Metode randomisasi (randomization) Stratified
The sampling scheme of the
PRFFPA included a twostage
stratified cluster sample
representative of the entire
population of Puerto Rico. A total of
4,500 households were selected to
screen for eligible respondents.
Ninety-five per cent of the eligible
respondents completed
questionnaires. Any woman age 15-
49 who resided in a selected house
was eligible; 3,493 eligible women
were identified. The questionnaire
completion rate for this second stage
was 90.9 per cent (N=3,175).
(Methods, paragraph two)tidak ada
Intervensi (intervention) -
Metode analisis / pengolahan data (analysis Wemadebothcrudeand
method)
adjusted.........in
additiontomaternal
smoking(269)
Univerat

Kesesuaian antara desain 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 desain yang
dipergunakan. Di dalam abstract tidak didapatkan angka PR yang seharusnya ada
sebagai hasil penelitian berdisain cross-sectional. Di dalam seksi hasil penelitian,
didapatkan nilai RR

5
Nilai RPR= 2,5
Artinya : Pada sampel, ibu yang merokok berisiko 2,5 kali lebih besar
mendapat bayi dengan Llow Born birth Wweight (LBW) daripada yang tidak
merokok dan bayi yang Low Born Weight (LBW) lebih berisiko 2,5 kali lebih besar
dilahirkan oleh ibu yang merokok.
Confidence interval : 1,9 - 3,3
Artinya : Pada populasi, ibu yang merokok berisiko 1,9 - 3,3 kali lebih besar
mendapat bayi dengan LBW daripada yang tidak merokok dan bayi yang Low Born
Weight (LBW) lebih berisiko 1,9 - 3,3 kali lebih besar dilahirkan oleh ibu yang
merokok.

Terjadi kesalahan pengetikan pada CI pada abstrak, seharusnya CI = 1,9 3,3

bukan CI = 1,9 2,3 Good!

OR =
Artinya :
Confidence interval :
Artinya :

OR gabungan =
Artinya :
Confidence interval :
Artinya :

Jika anda mempunyai pasien dengan kasus yang sama, bagaimana importance
penelitian ini untuk kasus anda ?

Penting / tidak penting

Alasan : Karena Confidence Interval (CI) yang didapat dari hasil penelitian di atas
tidak sama dengan lebih besar daripada 1 (satu), sehingga hal yang diteliti dalam
jurnal penelitian ini mempunyai efek dalam penerapannya terhadap pasien.