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The reporting of harms in randomized controlled trials of hypertension using the CONSORT criteria for harm reporting
Nitin Babulal Bagul1, Jamie J Kirkham
1Clinical Development, Novartis Horsham Research Centre, Horsham, UK. drnitinbb@yahoo.co.uk
Insights
Reporting of harms in hypertension clinical trials is inadequate. Most trials fail to meet the Consolidated Standards of Reporting Trials (CONSORT) harms reporting standards, compromising evidence reliability.
Area of Science:
- Clinical Trials Methodology
- Cardiovascular Research
- Patient Safety
Background:
- Accurate reporting of harms is crucial for evaluating treatment safety.
- Hypertension clinical trials are a key source of cardiovascular evidence.
- Existing reporting guidelines, like the CONSORT extension for harms, aim to improve data quality.
Purpose of the Study:
- To evaluate the quality of harms reporting in hypertension clinical trials.
- To assess adherence to the CONSORT extension for harms reporting.
- To identify gaps in the reporting of adverse events in hypertension research.
Main Methods:
- Systematic review of hypertension clinical trials from the Cochrane Database.
- Application of the CONSORT extension for harms reporting checklist.
- Quantitative assessment of reported harms items.
Main Results:
- Forty-one hypertension trials were analyzed.
- On average, trials reported less than half of the recommended harms reporting items (mean 9.83 items).
- Significant deficiencies were observed in the measurement, analysis, and reporting of harms data.
Conclusions:
- Current reporting of harms in hypertension trials is suboptimal.
- Improvements are needed in how trialists measure, analyze, and report adverse events.
- Enhanced harms reporting is essential for reliable and balanced clinical trial evidence.
Abstract:
The aim of this study was to assess the quality of reporting of harms in hypertension clinical trials identified from the Cochrane Database using the Consolidated Standards of Reporting Trials (CONSORT) extension for harms reporting. Forty-one hypertension trials were included in the study. On average trials reported less than half of the items recommended by the CONSORT extension for harms (mean 9.83 items; 95% confidence interval = 8.06, 11.60). Trialists need to address the perceived shortcomings in measurement, analysis, and reporting of harms data so that the available trial data can be considered as a balanced and reliable source of evidence.
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