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'Spin' in urology non-randomised studies comparing therapeutic interventions: a temporal analysis.
Jeremy Wu1, Samuel S Haile1, Wilson Ho1
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
BJU International
|March 20, 2024
Summary
Reporting spin in urological studies is common, found in 81% of research. While spin strategies have decreased over two decades, they remain prevalent, highlighting a need for improved medical writing practices.
Area of Science:
- Urology
- Medical Research Methodology
- Scientific Communication
Background:
- Reporting practices, termed 'spin', can distort study interpretations by misrepresenting findings.
- Assessing spin in urological observational studies is crucial for accurate clinical decision-making.
Purpose of the Study:
- To determine the prevalence and types of spin strategies in urological observational studies.
- To analyze trends in the use of spin over two decades (2000-2021).
Main Methods:
- Searched MEDLINE and Embase for observational studies in top urology journals.
- Included studies published in 2000-2001, 2010-2011, and 2020-2021.
- Analyzed 235 studies for the presence and level of spin strategies.
Main Results:
- Spin was identified in 81% of the 235 included urological studies.
- Common spin strategies included inadequate clinical implications (30%) and causal claims (29%).
- The use of spin strategies significantly decreased from 2000 to 2020, yet 70% of 2020s studies still contained spin.
Conclusions:
- Spin is prevalent in urological observational studies, affecting over 80% of research.
- While spin has declined over 20 years, it persists, necessitating careful medical writing.
- Authors should avoid unsupported language to ensure accurate reporting of urological study results.
