Waters Elizabeth, Priest Naomi, Armstrong Rebecca, Oliver Sandy, Baker Philip, McQueen David, Summerbell Carolyn, Kelly Michael P, Swinburn Boyd
Cochrane Health Promotion and Public Health Field, VicHealth, 15-31 Pelham Street (PO Box 154), Carlton South, Melbourne, VIC 3053, Australia.
J Public Health (Oxf). 2007 Sep;29(3):322-7. doi: 10.1093/pubmed/fdm039. Epub 2007 Jun 13.
Evidence-informed practice is a key component of public health and the focus of much discussion, of which the nature of evidence and how it is best gathered and appraised has formed a large part. Prospective registration of trials is now a key component of rigour and quality in clinical research and has been supported at an international level through the WHO International Clinical Trials Registry Program. This paper discusses the scope and benefits of trial registration in clinical research, including greater transparency and reduced publication bias. It then considers the potential for a Prospective Public Health Intervention Studies Register specific to the needs of public health and aspects to be included in such a register. It is argued that this initiative has the potential to facilitate increased global cooperation and efficiency in the production of high quality evidence and ultimately in improved health outcomes for populations.
循证实践是公共卫生的关键组成部分,也是诸多讨论的焦点,其中证据的性质以及如何最佳地收集和评估证据占据了很大一部分内容。试验的前瞻性注册如今是临床研究严谨性和质量的关键组成部分,并在国际层面得到了世界卫生组织国际临床试验注册平台的支持。本文讨论了临床研究中试验注册的范围和益处,包括更高的透明度和减少发表偏倚。然后探讨了建立一个针对公共卫生需求的前瞻性公共卫生干预研究注册平台的可能性以及该注册平台应涵盖的方面。有人认为,这一举措有可能促进全球在高质量证据生产方面加强合作并提高效率,最终改善人群的健康结果。