评估包括在证据综合中临床试验的完整性
María Núñez-Núñez1,2,3, Naomi Cano-Ibáñez2,3,4, Javier Zamora3,5,6
1Pharmacy Department, Clínico San Cecilio University Hospital, 18016 Granada, Spain.
概括
系统性审查依赖于可靠的随机临床试验 (RCT). 本研究提出了正式的RCT完整性评估,以解决有问题的研究,并确保可靠的证据综合,以改善临床实践和政策.
科学领域:
- 临床流行病学临床流行病学
- 研究诚信研究诚信
- 证据综合 证据综合
背景情况:
- 随机临床试验 (RCT) 的证据综合对于临床实践和政策至关重要.
- 证据综合的可靠性取决于所包含的RCT的完整性.
- 撤回数量的增加和对RCT真实性的担忧凸显了有问题的研究问题,包括"尸"试验.
研究的目的:
- 分析与RCT展现完整性缺陷的证据综合方面的问题和挑战.
- 建议正式的RCT完整性评估作为系统审查中的必要步骤.
- 讨论将完整性评估整合到系统审查方法论中的影响.
主要方法:
- 分析当前的证据综合和研究诚信的现状.
- 在系统性审查中确定评估RCT完整性的差距.
- 关于正式RCT完整性评估框架的建议.
主要成果:
- 目前的系统性审查不充分评估所包含的RCT的完整性,通常依赖于允许伪造或伪造研究通过的期刊系统.
- 存在数据完整性问题的有问题的RCT仍然可用于证据综合.
- 需要有效的工具来主动评估RCT完整性偏差.
结论:
- 正式的RCT完整性评估应整合到系统审查过程中.
- 未来的努力应集中在道德标准,定制培训和促进研究诚信的系统上.
- 提高RCT完整性将大大提高证据综合的可靠性和可信度.
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