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选择手术随机对照试验报告质量:系统性审查

Panagiotis Bompolas¹, Wameth A Jamel², Ming Zien Yu³

¹From the Department of Trauma and Orthopaedic Surgery, Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, United Kingdom.

Plastic and reconstructive surgery. Global open

|October 27, 2025

概括

随机对照试验 (RCT) 在选手手术中显示适度遵守报告准则,具有关键的透明度差距. 需要加强合作,以提高手术证据的质量.

科学领域:

医学研究方法学医学研究方法学
手术证据的质量手术证据的质量

背景情况:

综合报告试验-非药物治疗标准 (CONSORT-NPT) 准则旨在改善随机对照试验 (RCT) 报告.
在RCT中报告不足会损害研究可重复性和临床建议的可靠性.
本审查评估了在可选手术 (EHS) RCT中遵守CONSORT-NPT指南的情况.

研究的目的:

评估随机对照试验 (RCT) 在选手手术 (EHS) 中是否符合最新的非药物治疗试验报告统一标准 (CONSORT-NPT) 准则.
确定EHS RCT报告中的特定优点和弱点.
为改善EHS的证据质量提供建议.

主要方法:

自2017年以来出版的EHS中RCT的系统审查.
在Cochrane,Embase,PubMed和科学网络中进行的搜索.
两个独立审查员对42个CONSORT-NPT子标准的评估.

主要成果:

包括58个RCT,平均66.1%的RCT符合CONSORT-NPT指南.
"科学背景和理由"和"参与者分配细节"被普遍报告 (100%).
最少报告的项目包括"试图限制没有盲目的偏差" (13.2%) 和"开始后结果的修改" (17.2%). "方法"部分显示的遵守率最低 (55.7%).

结论:

可选手术RCT显示适度遵守报告准则,表明方法透明度存在重大差距.
作者数量和报告合规性之间存在微弱的相关性,但与期刊影响因子或引文无关.
研究人员,期刊,资助机构和指导方针制定者之间的加强合作对于改善EHS的证据质量至关重要.

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