关于可卡因使用障碍的随机临床试验中磨损率的未解决问题:范围审查
Amanda Bernardino Sinatora1, Daniela Mendes Chiloff1, Juliana P M Santos1
1Department of Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.
Substance use & addiction journal
|May 5, 2025
概括
大多数可卡因使用障碍 (CUD) 随机对照试验 (RCT) 无法充分解决参与者 attrition,这是一个主要的研究障碍. 需要改进的方法来减少CUD治疗研究中的消耗偏差.
科学领域:
- 成研究研究成研究
- 临床试验方法论 临床试验方法论
- 公共卫生 公共卫生
背景情况:
- 可卡因使用障碍 (CUD) 是一个不断增长的全球公共卫生问题,没有确立有效的治疗方法.
- 随机对照试验 (RCT) 的高参与者消耗阻碍了CUD研究的进展.
- 缺乏对消耗减缓策略的关注限制了CUD治疗试验结果的可靠性.
研究的目的:
- 系统地审查二十年的CUD RCT.
- 评估CUD治疗试验中报道的消耗偏差.
- 评估用于减轻CUDRCT中消耗的方法.
主要方法:
- 覆盖范围审查方法.
- 从106个CUDRCT中提取数据.
- 对消耗报告和偏见评估的分析.
主要成果:
- 在106个RCT中,只有82个RCT明确评估了磨损.
- 38项研究报告了超过50%的磨损率.
- 显著的大多数研究都显示出中等到大的磨损偏差,对局限性的讨论有限.
结论:
- 大多数CUD RCT在分析中不充分考虑消耗.
- 缓解消耗偏差的方法很少被使用或报告.
- 解决消耗对于提高CUD治疗研究的有效性和通用性至关重要.
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