在鼻整形中随机对照试验的CONSORT合规性:系统性审查
Sebastian Mitchell1, Yousif F Yousif2, Ming Zien3
1Royal Infirmary of Edinburgh, NHS Lothian, Edinburgh, UK. sebastian.mitchell@hotmail.co.uk.
Aesthetic plastic surgery
|February 19, 2026
概括
这次审查发现,在鼻整形随机对照试验 (RCT) 中,对CONSORT报告准则的适度遵守. 试验注册和资金披露等关键领域需要改进,以提高研究质量和患者安全.
科学领域:
- 整形外科 整形外科 整形外科
- 医学研究方法学 医学研究方法学
背景情况:
- 随机对照试验 (RCT) 对于外科手术的评估至关重要.
- 在鼻整形RCT中缺乏对CONSORT报告准则的一致遵守.
- 透明的报告在鼻整形中至关重要,因为结果和技巧是个性化的.
研究的目的:
- 在鼻整形RCT中系统审查和评估遵守CONSORT-NPT指南.
- 为了确定已发表的鼻整形RCT中的具体报告缺陷.
- 评估证据的质量,并确定影响报告遵守的因素.
主要方法:
- 按照PRISMA和AMSTAR-2指南进行系统审查.
- 在PubMed,Embase,Cochrane图书馆,谷歌学者和MEDLINE搜索了鼻整形RCT (2017-2024年).
- 评估了CONSORT-NPT检查清单的遵守,研究质量 (Cochrane偏差风险,GRADE),并分析了与期刊影响因子和作者数量的相关性.
主要成果:
- 分析了97个鼻整形RCT,显示平均CONSORT坚持率为68.8%.
- 对目标和摘要的报告量很高,但在试验注册 (53.6%) 和资金披露 (51.5%) 方面存在缺陷.
- 大多数研究都是单一中心的,参与者有限,影响了概括性;在坚持性和期刊影响因子或作者数量之间没有发现相关性.
结论:
- 鼻整形RCT显示中度的CONSORT遵守,在重要报告领域存在显著差距.
- 优先考虑执行CONSORT指南是提高研究质量和患者安全的关键.
- 解决报告缺陷将增强可重现性和基于证据的鼻整形实践.
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