使用CONSORT陈述和随机试验报告的质量:比较前后评估
1Thomas C. Chalmers Centre for Systematic Reviews, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Rd, Ottawa, Ontario, K1H 8L1 Canada.
JAMA
|April 20, 2001
概括
综合试验报告标准 (CONSORT) 声明改善了随机对照试验 (RCT) 报告. 采用CONSORT的期刊显示,报告质量显著提高,未明确的分配隐藏率下降.
科学领域:
- 医学研究方法学 医学研究方法学
- 临床试验报告标准 临床试验报告标准
背景情况:
- 综合试验报告标准 (CONSORT) 声明是为了提高随机对照试验 (RCT) 报告的质量而开发的.
- 关于CONSORT声明在实现其目标方面有效性的数据有限.
研究的目的:
- 评估是否采用CONSORT声明与RCT报告的质量提高有关.
- 为了比较RCT报告在CONSORT指南实施之前和之后.
主要方法:
- 采用了比较的前后研究设计.
- 1994年的报告 (前CONSORT) 与1998年的报告 (后CONSORT) 在四个著名的医学期刊中进行了比较.
- 两个期刊采用了CONSORT,另外两个期刊作为对比期刊,其中一个期刊没有采用指南.
主要成果:
- 采用CONSORT的期刊的报告显示,包含在CONSORT检查清单中的项目数量在统计上显著增加.
- 在采用者期刊中观察到,关于分配隐的不清楚报告频率显著下降.
- 使用Jadad规模评估的总体试验质量得分在采用CONSORT声明的期刊中显著改善.
结论:
- 这些发现表明,使用CONSORT声明与公布的RCT报告质量的可证明改进有关.
- 遵守CONSORT指南对临床试验报告的清晰度和完整性产生了积极的影响.
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