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Reporting methodology protocols in three acute care journals.

G D Kelen, C G Brown, M Moser

    Annals of Emergency Medicine
    |September 1, 1985
    PubMed
    Summary
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    Reporting of methodology in acute care journals is insufficient. A review of 45 trials found critical details for assessing bias and statistical methods were not adequately reported across leading journals.

    Area of Science:

    • Medical Research Methodology
    • Clinical Trial Reporting Standards

    Background:

    • Evaluating the quality of clinical trials is crucial for evidence-based medicine.
    • Inadequate reporting of methodological details can hinder the assessment of study validity and bias.

    Purpose of the Study:

    • To compare the reporting of methodology protocol details in three major acute care journals.
    • To assess the adequacy of reporting for bias-reducing techniques and statistical methodology in published trials.

    Main Methods:

    • A systematic review of 45 prospective, interventional, controlled trials published between January 1980 and June 1983 in Annals of Emergency Medicine, Critical Care Medicine, and Journal of Trauma.
    • Eleven predefined criteria for evaluating clinical trials were used to assess the reporting clarity of each study.

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  • Two independent reviewers evaluated each trial, with disagreements resolved by a third reader.

    • Main Results:

    • The mean proportion of clearly reported methodological items was low across all journals: Annals of Emergency Medicine (0.40 ± 0.18), Journal of Trauma (0.41 ± 0.24), and Critical Care Medicine (0.35 ± 0.18).
    • No statistically significant difference in reporting proportions was found between the three journals (P = .75).
    • The findings indicate a general lack of sufficient methodological information for assessing bias-reducing techniques and statistical methodology.

    Conclusions:

    • Leading acute care journals demonstrate suboptimal reporting of essential methodological details in clinical trials.
    • There is a need for improved reporting standards to enhance the transparency and evaluability of research published in these journals.
    • Enhancing the reporting of methodology is vital for the accurate interpretation and application of clinical trial findings.