在研究中,不良事件是被考虑的,但并不总是被明确地选择为核心结果:一个更新的系统性审查
Sarah L Gorst1, Jonathan P Lucas1, Susanna Dodd1
1Department of Health Data Science, University of Liverpool, Liverpool, UK.
这项研究评估了核心结果集 (COS) 的发展质量和不良事件的纳入. 虽然利益相关者的参与度有所提高,但需要加强共识过程的坚持,大约一半的COS处理不良事件.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床试验方法论 临床试验方法论
- 基于证据的医学基于证据的医学.
背景情况:
- 核心成果集 (COSs) 的系统审查评估了对发展标准的遵守.
- 在有效性试验的核心成果措施倡议进行年度更新.
- 评估COS质量和不良事件的纳入对于临床试验的一致性至关重要.
研究的目的:
- 评估核心成果集 (COS) 开发的质量.
- 检查在COS中包括不良事件结果的方法.
- 评估国际商定的基于共识的COS开发标准的遵守情况.
主要方法:
- 对公布或索引在2022年和2023年报告COS发展的研究进行系统审查.
- 评估遵守已建立的COS开发标准的情况.
- 使用现有分类学对核心结果的分类和对不良事件考虑的检查.
主要成果:
- 在2022年和2023年的更新中,包括了88项研究.
- 范围规范标准得到充分满足;利益相关者参与度随着时间的推移而提高 (66%至85%).
- 对共识过程标准的遵守率较低 (22%至33%),约一半的COS包括不良事件.
结论:
- 标准的遵守得到了改善,包括患者参与.
- 为了开发核心成果集,需要进一步加强共识过程标准.
- 建议在COS中明确报告和考虑不良事件的理由.
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