估计大量引用的临床研究 (2004-2018) 的可复制性
Gabriel Gonçalves da Costa1, Kleber Neves1, Olavo Amaral1
1Institute of Medical Biochemistry Leopoldo de Meis, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
PloS one
|August 7, 2024
概括
高度引用的临床研究显示了高可重复性,与之前的发现相反. 这项研究发现几乎没有证据表明医疗干预的效果大小膨胀,这表明近期高影响力出版物的可靠性有所改善.
科学领域:
- 医学研究 医学研究
- 临床试验 临床试验
- 图书统计学 图书统计学
背景情况:
- 之前的研究表明,大量引用的临床研究往往缺乏可复制性,并显示出夸张的效果大小.
- 需要更新分析,以评估临床研究的可复制性是否随着时间的推移而改变.
研究的目的:
- 评估2004年至2018年期间发表的大量引用的临床研究的可复制性.
- 评估这些研究中效应大小通胀的证据.
- 为了确定可复制性的潜在预测因素.
主要方法:
- 在科学网上搜索了医疗干预文章,引用次数>2000 (2004-2018).
- 在PubMed中使用PICO框架识别了复制.
- 通过同一个方向的统计学显著效应和效应大小的重叠置信区间 (CI) 评估复制成功.
主要成果:
- 24项研究具有有效的复制;83% (20/24) 满足了两个可复制性标准.
- 87%的大量引用的研究具有显著的初级结果也显示出显著的复制效应.
- 没有检测到系统的效果大小膨胀 (平均效果大小比1.03).
结论:
- 在这个精选样本中,大量引用的临床研究的可复制率高于之前报告的.
- 在这个队列中发现的系统效果大小通胀的证据很少.
- 由于样本高度选择性,研究结果可能不适用于所有临床研究.
更多相关视频
相关概念视频
Clinical Trials: Overview
2.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.9K
Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
Chi-square Analysis
38.2K
The chi-square test is a statistical hypothesis test. It is used to check whether there is a significant difference between an expected value and an observed value. In the context of genetics, it enables us to either accept or reject a hypothesis, based on how much the observed values deviate from the expected values.
The chi-square test was developed by Pearson in 1990.
The first step of performing a Chi-square analysis is to establish a null hypothesis, which assumes that there is no real...
The chi-square test was developed by Pearson in 1990.
The first step of performing a Chi-square analysis is to establish a null hypothesis, which assumes that there is no real...
38.2K
Hazard Ratio
106
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
106
Bioequivalence: Overview
955
Pharmaceutical equivalents, by definition, are drug products with the same active ingredient in the same quantities, encapsulated in identical dosage forms, and intended for the same administration routes. These pharmaceutical equivalents are deemed bioequivalent if the bioavailability of the active entity in the drug preparations is similar. Moreover, pharmaceutical equivalents demonstrating bioequivalence are also regarded as therapeutically equivalent. This means that when used as directed,...
955
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
124
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
124


