在过去20年间对痕进行的随机对照试验中评估研究浪费和特征:一个横截面研究
Hongrui Chen1, Zening Huang2, Bin Sun1
1Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, China.
Postgraduate medical journal
|July 10, 2024
概括
研究浪费在痕随机对照试验 (RCT) 中很普遍. 多中心设计和外部资金有助于减少这种浪费,提高未来的研究效率.
科学领域:
- 皮肤病学和再生医学
- 临床试验方法论 临床试验方法论
背景情况:
- 痕代表着一个重要的临床挑战与正在进行的研究工作.
- 随机对照试验 (RCT) 对于评估痕治疗至关重要.
- 了解痕研究的趋势和低效率对于进步至关重要.
研究的目的:
- 分析二十年来与痕相关的RCT特征的演变.
- 在这些试验中识别和量化研究浪费 (RW).
- 确定改善痕研究效率和影响的领域.
主要方法:
- 在clinicaltrials.gov系统搜索2000年至2023年期间注册的scarRCT.
- 对试验特征,出版状况,报告质量和设计缺陷的分析.
- 统计分析以确定与研究浪费相关的因素.
主要成果:
- 全球scar RCT注册数量增加,亚洲的比例上升,北美和欧洲的份额下降.
- 在分析的232个RCT中,78.9%的RCT显示研究浪费.
- 多中心设计,非药物干预,缺乏外部资金,50名以上的参与者是防止浪费的保护因素.
结论:
- 痕RCT已经发展了20多年,但仍然存在大量的研究浪费负担.
- 诸如多中心协作和充分的参与者数量等因素可以减少研究浪费.
- 研究结果为优化未来与痕相关的RCT规划和减少效率低下提供了基础.
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