安定したアンギナ・ペクトリスに対する治療の臨床的ランダム化制御試験に関する文献の質評価
Binjing Cai1, Zheqian Su2, Hongfeng Wang3
1College of Traditional Chinese Medicine, Changchun University of Traditional Chinese Medicine, Changchun, Jilin, People's Republic of China.
Journal of pain research
|September 4, 2025
まとめ
安定した胸痛に対するによるランダム化対照試験 (RCT) の報告の質は不十分である. 将来の研究は,治療の研究の透明性と信頼性を高めるために,CONSORTとSTRICTAのガイドラインに従う必要があります.
科学分野:
- 統合医療と補足医療
- 臨床試験の方法論
- 心臓病科
背景:
- 安定した胸痛 (SAP) は一般的な心血管疾患です.
- 治療は SAPの治療法としてますます探索されています.
- 標準化された報告は,臨床試験の有効性と信頼性を評価するために不可欠です.
研究 の 目的:
- 安定した胸痛に対する治療を調査するランダム化制御試験 (RCT) の報告の質を批判的に評価する.
- 既定の報告ガイドラインの遵守における欠陥を特定する.
主な方法:
- 2025年3月4日までの主要な中国語と英語のデータベースで体系的な文献検索が行われました.
- 報告の質は,臨床試験の統合報告 (CONSORT) と治療の制御試験における介入報告基準 (STRICTA) のガイドラインを用いて評価された.
- 31件のRCTが分析対象となる基準を満たした.
主要な成果:
- 参加したRCTの報告の質は全体的に最適以下で,試験方法と結果の報告には重大な欠陥があった.
- 多くの研究 (77.42%) は,重要な介入の詳細を報告しなかった.
- 詳細が欠けている主な分野は,治療の根拠,治療環境,治療士の資格,および対照群の記述が含まれ,これらの要素の報告率は低い.
結論:
- 安定した胸痛に対する治療に関する現在の文献は,報告の質が悪い.
- CONSORTとSTRICTAのガイドラインの遵守は,将来の治療RCTの透明性,厳密性,解釈性を高めるために不可欠です.
- 報告基準の改善により,安定した胸痛の管理における治療の根拠が強化されます.
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