From Paris Descartes University, INSERM UMR1153, and Assistance Publique des Hôpitaux de Paris, Paris, France; University of Oxford, Oxford, United Kingdom; Ottawa Hospital Research Institute and University of Ottawa, Ottawa, Ontario, Canada; FHI 360, Durham, North Carolina; University of North Carolina, Chapel Hill, North Carolina; and Columbia University Mailman School of Public Health, New York, New York.
Ann Intern Med. 2017 Jul 4;167(1):40-47. doi: 10.7326/M17-0046. Epub 2017 Jun 20.
Incomplete and inadequate reporting is an avoidable waste that reduces the usefulness of research. The CONSORT (Consolidated Standards of Reporting Trials) Statement is an evidence-based reporting guideline that aims to improve research transparency and reduce waste. In 2008, the CONSORT Group developed an extension to the original statement that addressed methodological issues specific to trials of nonpharmacologic treatments (NPTs), such as surgery, rehabilitation, or psychotherapy. This article describes an update of that extension and presents an extension for reporting abstracts of NPT trials. To develop these materials, the authors reviewed pertinent literature published up to July 2016; surveyed authors of NPT trials; and conducted a consensus meeting with editors, trialists, and methodologists. Changes to the CONSORT Statement extension for NPT trials include wording modifications to improve readers' understanding and the addition of 3 new items. These items address whether and how adherence of participants to interventions is assessed or enhanced, description of attempts to limit bias if blinding is not possible, and specification of the delay between randomization and initiation of the intervention. The CONSORT extension for abstracts of NPT trials includes 2 new items that were not specified in the original CONSORT Statement for abstracts. The first addresses reporting of eligibility criteria for centers where the intervention is performed and for care providers. The second addresses reporting of important changes to the intervention versus what was planned. Both the updated CONSORT extension for NPT trials and the CONSORT extension for NPT trial abstracts should help authors, editors, and peer reviewers improve the transparency of NPT trial reports.
不完整和不充分的报告是一种可以避免的浪费,会降低研究的有用性。CONSORT(临床试验报告统一标准)声明是一个基于证据的报告指南,旨在提高研究的透明度并减少浪费。2008 年,CONSORT 小组对原始声明进行了扩展,以解决非药物治疗(NPT)试验特有的方法学问题,如手术、康复或心理治疗。本文描述了该扩展的更新,并提出了 NPT 试验摘要报告的扩展。为了制定这些材料,作者回顾了截至 2016 年 7 月发表的相关文献;调查了 NPT 试验的作者;并与编辑、试验人员和方法学家进行了共识会议。对 NPT 试验 CONSORT 声明扩展的更改包括改进读者理解的措辞修改以及添加 3 个新项目。这些项目涉及参与者对干预措施的依从性是否以及如何进行评估或增强、如果无法进行盲法如何描述限制偏倚的尝试,以及随机化和干预开始之间的延迟的说明。NPT 试验摘要的 CONSORT 扩展包括 2 个原始 CONSORT 声明摘要中未指定的新项目。第一个涉及对干预措施实施的中心和护理提供者的资格标准的报告。第二个涉及报告与计划相比干预措施的重要变化。NPT 试验的更新 CONSORT 扩展和 NPT 试验摘要的 CONSORT 扩展都应该有助于作者、编辑和同行评审员提高 NPT 试验报告的透明度。