Vickers Andrew J
Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, NY, USA.
Trials. 2006 May 16;7:15. doi: 10.1186/1745-6215-7-15.
Sharing of raw research data is common in many areas of medical research, genomics being perhaps the most well-known example. In the clinical trial community investigators routinely refuse to share raw data from a randomized trial without giving a reason.
Data sharing benefits numerous research-related activities: reproducing analyses; testing secondary hypotheses; developing and evaluating novel statistical methods; teaching; aiding design of future trials; meta-analysis; and, possibly, preventing error, fraud and selective reporting. Clinical trialists, however, sometimes appear overly concerned with being scooped and with misrepresentation of their work. Both possibilities can be avoided with simple measures such as inclusion of the original trialists as co-authors on any publication resulting from data sharing. Moreover, if we treat any data set as belonging to the patients who comprise it, rather than the investigators, such concerns fall away.
Technological developments, particularly the Internet, have made data sharing generally a trivial logistical problem. Data sharing should come to be seen as an inherent part of conducting a randomized trial, similar to the way in which we consider ethical review and publication of study results. Journals and funding bodies should insist that trialists make raw data available, for example, by publishing data on the Web. If the clinical trial community continues to fail with respect to data sharing, we will only strengthen the public perception that we do clinical trials to benefit ourselves, not our patients.
在医学研究的许多领域,原始研究数据的共享很常见,基因组学可能是最广为人知的例子。在临床试验领域,研究者通常会无故拒绝共享随机试验的原始数据。
数据共享有利于众多与研究相关的活动:重现分析结果;检验次要假设;开发和评估新的统计方法;教学;辅助未来试验的设计;进行荟萃分析;以及可能防止错误、欺诈和选择性报告。然而,临床试验人员有时似乎过于担心研究成果被抢先发表以及自己的工作被歪曲。通过一些简单的措施,比如在因数据共享产生的任何出版物上让原始试验人员作为共同作者,可以避免这两种可能性。此外,如果我们将任何数据集视为属于构成该数据集的患者,而不是研究者,这些担忧就会消除。
技术发展,尤其是互联网,已使数据共享在总体上成为一个微不足道的后勤问题。数据共享应被视为进行随机试验的一个固有组成部分,类似于我们看待伦理审查和研究结果发表的方式。期刊和资助机构应坚持要求试验人员提供原始数据,例如通过在网上发布数据。如果临床试验领域在数据共享方面继续失败,我们只会强化公众的看法,即我们进行临床试验是为了让自己受益,而不是为了我们的患者。