在PubMed期刊上发表的随机试验的流行病学和报告
An-Wen Chan1, Douglas G Altman
1Department of Medicine, University Health Network Toronto, Canada. anwen.chan@utoronto.ca
Lancet (London, England)
|March 30, 2005
概括
这项研究分析了519项随机试验,发现许多试验样本规模小,方法细节报告不完善,阻碍了基于证据的药物质量评估.
科学领域:
- 临床试验 临床试验
- 基于证据的医学 基于证据的医学
- 医学研究方法学 医学研究方法学
背景情况:
- 随机试验是基于证据的医学的基础.
- 关于已发表的随机试验的一般特征和报告质量,人们对其了解有限.
- 评估这些试验的流行病学和方法报告对于评估研究可靠性至关重要.
研究的目的:
- 评估2000年12月发表的随机试验的流行病学.
- 评估这些试验中报告的关键方法细节.
- 确定试验设计和报告中的潜在局限性,影响证据质量.
主要方法:
- 2000年12月出版的所有519个PubMed索引随机试验的系统综述.
- 通过设计对试验进行分类 (平行组与交叉组).
- 对特定的方法元素进行报告的评估:遮蔽,功率计算,随机序列生成,分配隐藏和磨损处理.
主要成果:
- 大多数试验 (93%) 发表在专业期刊上.
- 平均80名参与者被招募到并行组试验中,其中60%的人采用了盲目化.
- 对关键的方法特征 (例如,随机序列生成,分配隐藏) 的充分报告在出版物中不到50%.
结论:
- 2000年发表的随机试验通常具有小样本大小.
- 对方法特征的报告不足,损害了对许多已发表的试验质量进行可靠评估的能力.
- 改善方法报告对于加强基于证据的医学基础至关重要.
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