Decullier Evelyne, Chapuis François
Clinical Epidemiology Unit; DIM-Hospices Civils de Lyon, Lyon, France.
BMC Public Health. 2006 Jun 22;6:165. doi: 10.1186/1471-2458-6-165.
Public funding is aimed at facilitating the initiation, completion and publication of research study protocols. However, no evaluation is made to investigate the impact of grant success on the conduct of biomedical research. It is therefore of great interest to compare the fate of funded protocols versus not funded: Are they initiated? Are they completed? Did the results confirm the hypothesis? Were they published? The objective was to investigate the fate of protocols submitted for funding, whether they were funded or not.
Retrospective cohort study of protocols submitted for funding to the Greater Lyon regional scientific committee in 1997. Initial characteristics of protocols (design, study size, investigator status) were abstracted from archives, and follow-up characteristics (initiation, completion and publication) from a mailed questionnaire to the principal investigators.
Among the 142 submitted protocols, follow-up information was available for 114 (80%). As a whole, 38% of studies were funded by the Greater Lyon research committee. The rate of initiation varied from 62% for studies with no acknowledged funding to 100% for studies with both committee and other simultaneous funding. When initiated, the rate of completion was 62% for studies with at least one funding and 40% for studies without acknowledged funding. When completed, publication was reached for 77% of studies with either committee or external funding, for 58% of studies without acknowledged funding and for 37% of studies with both committee and external funding.
Some protocols submitted for funding were initiated and completed without any funding declared. To our understanding this mean that not all protocols submitted really needed funding and also that health care facilities are unaware that they implicitly financially support and pay for biomedical research.
公共资金旨在促进研究方案的启动、完成和发表。然而,尚未进行评估以调查资助成功对生物医学研究实施的影响。因此,比较获得资助的方案与未获得资助的方案的命运非常有趣:它们是否启动?是否完成?结果是否证实了假设?是否发表?目的是调查提交资助申请的方案的命运,无论其是否获得资助。
对1997年提交给大里昂地区科学委员会申请资助的方案进行回顾性队列研究。方案的初始特征(设计、研究规模、研究者状态)从档案中提取,随访特征(启动、完成和发表)则通过向主要研究者邮寄问卷获得。
在提交的142个方案中,有114个(80%)获得了随访信息。总体而言,38%的研究由大里昂研究委员会资助。启动率从无公认资助的研究的6%到委员会和其他同时资助的研究的100%不等。启动后,至少有一项资助的研究的完成率为62%,无公认资助的研究的完成率为40%。完成后,委员会或外部资助的研究中有77%发表,无公认资助的研究中有58%发表,委员会和外部资助的研究中有37%发表。
一些提交资助申请的方案在未声明任何资助的情况下启动并完成。据我们了解,这意味着并非所有提交的方案都真正需要资助,也意味着医疗保健机构并未意识到它们在暗中为生物医学研究提供资金支持并为之付费。