在白内障疗法的临床试验中发表偏见:对基于证据的决策产生影响
Tejasvi Paturu1, Anchal Shukla, Shreya Gitanjali Shivan
1From the Morsani College of Medicine, University of South Florida, Tampa, Florida (Paturu, Shukla, Shivan, Benyahia); Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa, Florida (Lippert, Velanovich).
Journal of cataract and refractive surgery
|July 3, 2024
概括
在白内障试验中,积极的结果比负面的结果更频繁地发表. 这种出版偏见会影响基于证据的医学,因为负面发现不太可能被分享.
科学领域:
- 眼科医生 眼科 眼科
- 医学研究方法学 医学研究方法学
- 出版偏见研究研究 出版偏见研究
背景情况:
- 基于证据的决策依赖于已发表的研究.
- 出版偏见,特别是有利于积极的结果,可以扭曲证据基础.
- 了解临床试验中的这种偏见对于准确的医学决策至关重要.
研究的目的:
- 在白内障治疗试验中描述积极结果发表偏见的现象.
- 调查资金来源对出版率的影响.
- 为了比较与积极和负面结果的试验之间的出版指标.
主要方法:
- 来自美国国家医学图书馆临床试验数据库的白内障治疗试验的系统审查.
- 将试验结果分类为"阳性" (与假设一致) 或"阴性".
- 排除具有不到两个治疗臂,不到五名参与者或数据不足的试验;收集出版率和引用指标.
主要成果:
- 在包括的132个试验中,69个有积极结果,63个有负面结果.
- 积极结果的公布率 (71%) 显著高于负面结果 (17%) (P < .01).
- 在其他出版物指标 (例如,引用率,期刊影响因子) 中,在正面和负面出版物之间没有发现显著差异.
结论:
- 报告白内障治疗负面结果的试验在出版物中显著不足.
- 尽管发表频率较低,但发表的负面结果似乎具有与积极结果相似的价值.
- 临床试验报告中的出版偏见对基于证据的医学和临床实践有重大影响.
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