相关实验视频
Updated: Sep 9, 2025

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
预先注册和发表试验在干预措施的科克伦系统审查中的模式
Paul Bramley1, Caroline Bird2, Robert Badgett3
1Department of Anaesthesia, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
临床试验结果的选择性报告引入了偏见. 虽然预注册率较低,但注册试验的参与者更多,出版率高,减少了证据综合方面的偏见.
科学领域:
- 临床试验方法
- 基于证据的医学
- 科学完整性
背景情况:
- 临床试验结果的选择性报告 (公布偏见,结果报告偏见,p-hacking) 对科学文献和证据综合产生负面影响.
- 综合性试验登记可以识别和潜在地减轻选择性报告.
- 之前的研究重点是研究级别的注册,而不是参与者数量,这对元分析至关重要.
研究的目的:
- 通过检查试验数量和参与者数量来调查选择性报告带来的偏差风险.
- 评估临床试验预先注册和公布结果的程度与参与者数量相关.
主要方法:
- 一个回顾性队列研究分析了50个干预措施的随机样本.
- 关于"包括","正在进行"和"等待分类"试验的数据来自审查,公布的试验信息和公共试验注册文件.
- 专注于每个系统审查的主要结果.
主要成果:
- 在包括的423项研究中,仅有109项 (25. 7%) 已预先注册,在各项研究中存在显著的差异.
- 预先注册的试验占所有参与者的60. 1%,表明更大的研究更有可能被注册.
- 参与注册试验的公布率很高 (98.2%),但注册试验的公布率不同.
结论:
- 在Cochrane审查中包含的研究中,预注册率仍然很低,有证据表明注册试验没有报告.
- 预先注册的试验有助于更多的参与者进行系统性审查.
- 对于少数参与者来说,已注册试验的结果仍未公布,这表明偏见的潜在减少.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Clinical Trials
There are four phases in a clinical trial. A phase one...
Clinical Trials: Overview
Study Designs in Epidemiology
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Hazard Ratio
For example, in a clinical trial...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Study Design in Statistics
Does aspirin reduce the risk of heart attacks? Is one brand of fertilizer more effective at growing roses than another? Is fatigue as dangerous to a driver as the influence of alcohol? Questions like these are answered using randomized experiments with proper...