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评价单切口吊带术治疗女性压力性尿失禁:CONSORT 声明标准的实用性。

Evaluating single-incision slings in female stress urinary incontinence: the usefulness of the CONSORT statement criteria.

机构信息

Pharmacy Department, Hôpital Foch, Suresnes, France.

出版信息

Urology. 2012 Sep;80(3):535-41. doi: 10.1016/j.urology.2012.06.021.

Abstract

OBJECTIVE

To evaluate the usefulness and applicability of the Consolidated Standards of Reporting Trials (CONSORT) for journal articles reporting randomized, controlled trials evaluating single-incision slings in the treatment of female stress urinary incontinence.

METHODS

Original articles reporting randomized, controlled trials assessing single-incision slings in the treatment of female stress urinary incontinence were searched for in the PubMed and Embase databases in 2011. Reporting quality was studied by 2 hospital pharmacists and 2 urologic surgeons. Primary outcome was the score out of 20 in the abstract CONSORT checklist. Secondary outcomes were the scores in the standard CONSORT checklist and the extension CONSORT additional items for trials assessing nonpharmacologic treatments.

RESULTS

Among 135 articles retrieved, 8 met the inclusion criteria and were assessed. Abstract scores ranged from 4.7-14.1. Standard scores were >10.0 out of 20 for most articles; the extension scores did not exceed 5.0 out of 10. Four reported trials were not identified as randomized in the title. The interventions were incompletely reported. Four articles reported whether blinding was achieved but lack of blinding was never discussed as a potential source of bias. Few articles reported the operators and centers characteristics and their impact on statistical analysis. The combination of the 3 checklists was considered a useful guideline to enhance and assess the reporting quality of a surgical trial.

CONCLUSION

Our results support the further use of CONSORT criteria as a basic standardized tool in all stages of clinical evaluation for any prosthetic device in female pelvic surgery.

摘要

目的

评估 CONSORT 报告标准(CONSORT)在评估单切口吊带治疗女性压力性尿失禁的随机对照试验的期刊文章中的有用性和适用性。

方法

2011 年,我们在 PubMed 和 Embase 数据库中搜索了评估单切口吊带治疗女性压力性尿失禁的随机对照试验的原始文章。2 名医院药剂师和 2 名泌尿科医生对报告质量进行了研究。主要结局是摘要 CONSORT 清单中的 20 分评分。次要结局是标准 CONSORT 清单和非药物治疗试验的 CONSORT 附加项目的扩展评分。

结果

在检索到的 135 篇文章中,有 8 篇符合纳入标准并进行了评估。摘要评分范围为 4.7-14.1。大多数文章的标准评分均>20 分中的 10.0;扩展评分均未超过 10 分中的 5.0。有 4 项试验在标题中未被认定为随机。干预措施未得到完整报告。有 4 篇文章报告了是否实现了盲法,但未将盲法缺失作为潜在偏倚源进行讨论。很少有文章报告了操作人员和中心的特征及其对统计分析的影响。3 个清单的组合被认为是一个有用的指南,可以提高和评估手术试验的报告质量。

结论

我们的研究结果支持 CONSORT 标准在女性盆腔手术中任何假体设备的临床评估的所有阶段进一步作为基本标准化工具使用。

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