报告骨科科学中的偏见 - 我们正在讲述整个故事吗?
Michael T Hirschmann1,2, Robert Prill3,4, Elmar Herbst5
1University Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland.
概括
整形外科手术报告偏差意味着负面结果报告不足. 解决结果报告偏差 (ORB) 和出版偏差对于科学完整性和患者安全至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 医学研究诚信 医学研究诚信
- 科学出版科学出版
背景情况:
- 整形医学文献主要以积极的外科结果为特征,从而产生对治疗疗效的歪曲看法.
- 由于结果报告偏差 (ORB) 和出版偏差,不充分报告并发症,低于最佳的结果和废弃的技术很普遍.
- 专业的激励和对声誉的担忧阻碍了负面发现的发表,尽管它们对科学进步和患者护理的价值.
研究的目的:
- 要突出结果报告偏差 (ORB) 和骨科外科出版偏差的问题.
- 倡导更大的透明度和对积极和消极研究结果的平衡报告.
- 强调提出全面科学记录的伦理义务,以改善患者的治疗结果.
主要方法:
- 这篇社论讨论了在骨科研究的背景下报告偏见的影响.
- 它呼吁作者,审稿人和编辑采取主动措施,以促进透明度.
- 建议关键策略,包括潜在的试验注册,遵守预先注册的协议,以及偏差检测工具 (例如,ROB,ROBINS-I,ORBIT,漏斗图).
主要成果:
- 当前的骨科报告格局过度强调成功的结果.
- 负面或低于最佳的结果和废弃的技术在已发表的文献中显著不足.
- 没有报告负面发现会阻碍科学进步和患者安全,因为它会掩盖有价值的经验教训.
结论:
- 在骨科手术中取得真正的进步需要一个诚实和平衡的科学叙述,包括成功和失败.
- 解决结果报告偏差 (ORB) 和出版偏差对于恢复对科学记录的信任至关重要.
- 促进所有严格进行的研究的透明度和平等报告机会是患者护理的伦理要求.
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