Easterbrook P J, Matthews D R
Division of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore.
J R Soc Med. 1992 Feb;85(2):71-6. doi: 10.1177/014107689208500206.
A retrospective survey was conducted of 720 research protocols, approved by the Central Oxford Research Ethics Committee between 1984 and 1987, to determine the fate of research studies from inception. Forty-five per cent were clinical trials, 23% were observational studies and 32% were laboratory-based experimental studies. Further information was obtained on 487 studies, of which 287 (59%) had been completed, 100 (21%) had never started, 58 (12%) had been abandoned or were in abeyance and 42 (9%) were still ongoing, as of May 1990. Forty-three per cent of the original 487 studies were subsequently published or presented. The most frequent reason for not starting a study was failure to obtain funding (40%). The main reason for abandoning a study was difficulty in recruiting study participants (28%). Departure of one of the investigators from the institution and a variety of logistical problems were also common reasons for either not starting or abandoning a study. A thorough review of the pragmatic as well as the scientific aspects of a planned research project is important to minimize the initiation of studies that are unlikely to succeed.
对1984年至1987年间经牛津中央研究伦理委员会批准的720项研究方案进行了回顾性调查,以确定研究项目从启动开始的进展情况。其中45%为临床试验,23%为观察性研究,32%为基于实验室的实验性研究。截至1990年5月,对487项研究获取了进一步信息,其中287项(59%)已完成,100项(21%)从未启动,58项(12%)已被放弃或暂停,42项(9%)仍在进行中。最初的487项研究中有43%随后发表或进行了展示。未启动研究最常见的原因是未能获得资金(40%)。放弃研究的主要原因是难以招募研究参与者(28%)。研究人员之一离开机构以及各种后勤问题也是未启动或放弃研究的常见原因。对计划中的研究项目的实际操作和科学方面进行全面审查,对于尽量减少开展不太可能成功的研究很重要。