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Fate of research studies
P J Easterbrook1, D R Matthews
1Division of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore.
Journal of the Royal Society of Medicine
|February 1, 1992
Summary
Many research studies, including clinical trials, face challenges. Funding issues and recruitment difficulties often prevent studies from starting or lead to their abandonment, impacting research outcomes.
Area of Science:
- Medical research ethics
- Research study design and conduct
- Scientific study lifecycle
Background:
- Assessing the long-term outcomes of research protocols is crucial for understanding study success rates.
- Ethical review boards approve numerous research projects annually, but their ultimate fate is often unknown.
- A significant proportion of approved research may never reach completion or publication.
Purpose of the Study:
- To determine the ultimate fate of research studies approved by a central ethics committee.
- To identify common reasons why research studies are not initiated or are abandoned.
- To analyze the publication and presentation rates of completed research studies.
Main Methods:
- Retrospective survey of 720 research protocols approved between 1984-1987 by the Central Oxford Research Ethics Committee.
- Data collection on study initiation, completion, abandonment, and ongoing status as of May 1990.
- Analysis of reasons for non-initiation and abandonment, and subsequent publication or presentation rates.
Main Results:
- Of 487 studies with available data, 59% were completed, 21% never started, 12% abandoned, and 9% ongoing.
- 43% of the surveyed studies were eventually published or presented.
- Failure to secure funding (40%) was the primary reason for not starting studies; recruitment difficulties (28%) were the main cause for abandonment.
Conclusions:
- A substantial number of research studies do not reach completion or dissemination.
- Pragmatic factors like funding and participant recruitment significantly influence research study success.
- Thorough planning, considering both scientific and practical aspects, is essential to improve research study viability.