最近围产和新生儿临床试验中缺少结果数据
Guowei Li1,2, Yingxin Liu1, Jingyi Zhang1
1Center for Clinical Epidemiology and Methodology.
Pediatrics
|February 23, 2024
概括
缺少结果数据在新生儿试验中很常见,通常处理不当. 通过仔细的研究设计进行预防对于可靠的临床试验结果至关重要.
科学领域:
- 临床试验方法论 临床试验方法论
- 新生儿研究新生儿研究
- 生物统计学 生物统计学
背景情况:
- 在临床试验中缺少结果数据可能会损害结果和临床实践.
- 新生儿重症监护室 (NICU) 患者在出院后对长期结果的确定有很高的磨损风险.
研究的目的:
- 审查围产和新生儿随机试验中缺少的初级结局数据的处理.
- 评估在这些试验中使用归算方法的情况.
主要方法:
- 调查最近发表的围产和新生儿随机试验在7个高影响期刊.
- 分析报告缺失的初级结果数据和归算技术的分析.
主要成果:
- 在87项符合条件的试验中,89%的试验具有不完整的初级结果数据.
- 只有49%的缺乏数据的试验使用归算方法进行了敏感性分析.
- 大多数分析 (79%) 仅限于具有完整数据的参与者.
结论:
- 在新生儿试验中处理缺少的初级结果数据往往是不充分的.
- 通过仔细的研究设计和监测进行预防是减少偏见的最佳策略.
- 改进的方法包括讨论归算方法,样本大小估计和数据提取管理.
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