报告明确旨在模仿随机试验的观察性研究:系统性审查
Harrison J Hansford1,2, Aidan G Cashin1,2, Matthew D Jones1,2
1School of Health Sciences, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia.
JAMA network open
|September 27, 2023
概括
报告模拟目标试验的观察性研究不一致. 新的指导方针可能会提高这些重要的医学和政策研究的清晰度和质量.
科学领域:
- 健康研究方法的方法论.
- 流行病学 流行病学
- 临床试验的设计
背景情况:
- 模拟目标试验的观察性研究越来越多地用于医学和政策决策.
- 清晰的报告对于质量评估,证据综合和政策翻译至关重要.
- 这些特定研究设计的报告质量尚未得到充分理解.
研究的目的:
- 评估明确旨在模拟目标试验的观察性研究报告的完整性.
- 识别关键目标试验组件和仿真方法报告中的差距.
主要方法:
- 2012年3月至2022年10月期间发表的200项观察性研究的系统综述.
- 明确旨在模拟健康或医学领域的目标试验的研究.
- 两个审查员对研究特征和目标试验模拟组件的数据提取.
主要成果:
- 包括的200项研究涵盖了26个医学子领域,其中84%的研究是在2020-2022年发表的.
- 只有35%的研究在标题中明确表示"目标试验仿真".
- 43%的研究未能描述所有关键的仿真项目,57%的研究遗漏了目标试验协议细节.
结论:
- 在观察性研究中报告目标试验是如何模拟的,是不一致的.
- 针对目标试验模拟研究的专门报告准则可以提高这些研究的质量和透明度.
- 需要改进报告,以支持医疗和政策决策的可靠证据.
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