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临床试验注册在妊娠和分娩文献中的应用不足:对排名前20的期刊的系统评价

Clinical trials registries are underused in the pregnancy and childbirth literature: a systematic review of the top 20 journals.

作者信息

Yerokhin Vadim V, Carr Branden K, Sneed Guy, Vassar Matt

机构信息

Oklahoma State University Center for Health Sciences, 1111 W. 17th St., Tulsa, OK, 74107, USA.

St. John Clinic Administration, 1923 S. Utica, Davis Tower, ste 400, Tulsa, OK, USA.

出版信息

BMC Res Notes. 2016 Oct 21;9(1):475. doi: 10.1186/s13104-016-2280-3.

DOI:10.1186/s13104-016-2280-3
PMID:27769265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5073738/
Abstract

BACKGROUND

Systematic reviews and meta-analyses that do not include unpublished data in their analyses may be prone to publication bias, which in some cases has been shown to have deleterious consequences on determining the efficacy of interventions.

METHODS

We retrieved systematic reviews and meta-analyses published in the past 8 years (January 1, 2007-December 31, 2015) from the top 20 journals in the Pregnancy and Childbirth literature, as rated by Google Scholar's h5-index. A meta-epidemiologic analysis was performed to determine the frequency with which authors searched clinical trials registries for unpublished data.

RESULTS

A PubMed search retrieved 372 citations, 297 of which were deemed to be either a systematic review or a meta-analysis and were included for analysis. Twelve (4 %) of these searched at least one WHO-approved clinical trials registry or clinicaltrials.gov.

CONCLUSION

Systematic reviews and meta-analyses published in pregnancy and childbirth journals do not routinely report searches of clinical trials registries. Including these registries in systematic reviews may be a promising avenue to limit publication bias if registry searches locate unpublished trial data that could be used in the systematic review.

摘要

背景

系统评价和荟萃分析若在分析中未纳入未发表数据,可能易于出现发表偏倚,在某些情况下,已证明这会对确定干预措施的疗效产生有害影响。

方法

我们从谷歌学术h5指数排名前20的妊娠与分娩文献期刊中检索了过去8年(2007年1月1日至2015年12月31日)发表的系统评价和荟萃分析。进行了一项元流行病学分析,以确定作者检索临床试验注册库中未发表数据的频率。

结果

PubMed检索到372条引文,其中297条被认为是系统评价或荟萃分析,并纳入分析。其中12项(4%)检索了至少一个世界卫生组织批准的临床试验注册库或clinicaltrials.gov。

结论

妊娠与分娩期刊发表的系统评价和荟萃分析通常不报告对临床试验注册库的检索情况。如果检索注册库能找到可用于系统评价的未发表试验数据,将这些注册库纳入系统评价可能是限制发表偏倚的一个有前景的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/5073738/a489b1ee2dd8/13104_2016_2280_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/5073738/07ef69b39549/13104_2016_2280_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/5073738/76fbeeb12c94/13104_2016_2280_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/5073738/a489b1ee2dd8/13104_2016_2280_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/5073738/07ef69b39549/13104_2016_2280_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/5073738/76fbeeb12c94/13104_2016_2280_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8489/5073738/a489b1ee2dd8/13104_2016_2280_Fig3_HTML.jpg

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本文引用的文献

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Obstet Gynecol. 2016 Feb;127(2):248-53. doi: 10.1097/AOG.0000000000001204.
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Sharing Clinical Trial Data--A Proposal from the International Committee of Medical Journal Editors.分享临床试验数据——来自国际医学期刊编辑委员会的提议
N Engl J Med. 2016 Jan 28;374(4):384-6. doi: 10.1056/NEJMe1515172. Epub 2016 Jan 20.
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A systematic review and meta-analysis of the association between unintended pregnancy and perinatal depression.
一项关于意外怀孕与围产期抑郁之间关联的系统回顾和荟萃分析。
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BMC Med. 2015 Nov 18;13:282. doi: 10.1186/s12916-015-0520-3.
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Rating the quality of evidence: the GRADE system in systematic reviews/meta-analyses of AKI.评估证据质量:急性肾损伤系统评价/荟萃分析中的GRADE系统
Ren Fail. 2015 Aug;37(7):1089-93. doi: 10.3109/0886022X.2015.1056065. Epub 2015 Sep 2.
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Systematic Reviewers in Clinical Neurology Do Not Routinely Search Clinical Trials Registries.临床神经学领域的系统评价者并非常规检索临床试验注册库。
PLoS One. 2015 Jul 30;10(7):e0134596. doi: 10.1371/journal.pone.0134596. eCollection 2015.
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Quality of systematic reviews: an example of studies comparing artificial disc replacement with fusion in the cervical spine.系统评价的质量:以比较颈椎人工椎间盘置换与融合术的研究为例。
Libyan J Med. 2015 Jul 22;10(1):28857. doi: 10.3402/ljm.v10.28857. eCollection 2015.
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The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews.背景对医院质量改进策略有效性的影响:系统评价的综述
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Effect of gastric lavage on feeding in neonates born through meconium-stained liquor: a systematic review.洗胃对胎粪污染羊水出生的新生儿喂养的影响:一项系统评价
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The effect of adding a background infusion to patient-controlled epidural labor analgesia on labor, maternal, and neonatal outcomes: a systematic review and meta-analysis.在患者自控硬膜外分娩镇痛中添加背景输注对分娩、母体及新生儿结局的影响:一项系统评价与荟萃分析
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