探索儿科随机临床试验中的出版差距:已完成与未完成的儿科临床试验
Katerina Nebeska1,2, Lenka Souckova1,2,3,4, Radka Stepanova1
1Faculty of Medicine, Centre of Excellence CREATIC, Masaryk University, Brno, Czechia.
Frontiers in medicine
|June 16, 2025
概括
儿科随机临床试验 (RCT) 面临着完成和出版的挑战. 报告结果的延迟会影响医学证据和患者安全,需要加强监督.
科学领域:
- 临床研究 临床研究
- 儿科医学 儿科医学
- 基于证据的实践.
背景情况:
- 随机临床试验 (RCT) 对儿科医学进步至关重要.
- 监管倡议增加了儿科RCT,但挑战仍然存在.
- 儿科RCT中的出版偏见可能会扭曲证据并影响患者的安全.
研究的目的:
- 分析儿科RCT的完成和出版率.
- 确定与儿科RCT不完整和未发表相关的因素.
- 评估儿科临床试验中结果传播的及时性.
主要方法:
- 在clinicaltrials.gov上注册的儿科RCT的横截面分析 (2011-2013,到2017年完成).
- 纳入标准:药物干预,0-17岁的参与者,随机化.
- 提取关于试验特征,完成状态和通过注册表和文献搜索发布的数据.
主要成果:
- 在1088个儿科RCT中,16.54%的RCT未完成,主要是由于患者积累问题.
- 58.48%完成的RCT在注册表中公布结果;70%在期刊上发表.
- 工业资金与注册登记相关,而学术资金显示了更高的期刊出版率.
结论:
- 儿科RCT经历了显著的不完整性和报告延迟.
- 伦理,监管和后勤障碍阻碍了儿科研究的进展.
- 加强监督和合规对于及时传播儿科RCT结果至关重要.
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