Gonzalez Gabrielle Zoldan, Moseley Anne M, Maher Christopher G, Nascimento Dafne Port, Costa Lucíola da Cunha Menezes, Costa Leonardo Oliveira
Masters and Doctoral Programs in Physical Therapy, University City of São Paulo, São Paulo, Brazil.
Musculoskeletal Health Sydney, School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Arch Phys Med Rehabil. 2018 Jan;99(1):129-136. doi: 10.1016/j.apmr.2017.08.485. Epub 2017 Sep 28.
To investigate the methodologic quality and statistical reporting of reports of trials indexed on the Physiotherapy Evidence Database (PEDro) classified in the musculoskeletal subdiscipline, and to analyze the characteristics of the trials that can predict trial report quality.
Cross-sectional study based on a collection of randomized controlled trials. We randomly selected 19% of trials coded as musculoskeletal from PEDro. Methodologic quality was assessed using the PEDro scale. We assessed aspects of the trial using 9 items from the Consolidated Standards of Reporting Trials (CONSORT) statement. We performed multivariate linear regression analysis models to predict the total PEDro score.
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A total of 1404 articles were included in the analysis. The mean total PEDro scale score was 5.27±1.63 points, which reflects low methodologic quality. There was a slight improvement in the quality of articles over time. The characteristics that predicted the total PEDro scale score were endorsement of the CONSORT statement, sample size calculation, lower number of primary outcomes, evaluation of electrotherapy as intervention, if the trial reported the research design in the title, reporting of participant flow diagram, years since publication (most recent trials), and trials published in English.
The quality of the trials in musculoskeletal physical therapy is suboptimal. The use of reporting checklists (eg, CONSORT statement) should be mandatory in all journals. Journal reviewers and journal editors should also use the CONSORT statement during the review process.
调查物理治疗证据数据库（PEDro）中索引的肌肉骨骼亚学科试验报告的方法学质量和统计报告情况，并分析可预测试验报告质量的试验特征。
基于随机对照试验集合的横断面研究。我们从PEDro中随机选择了19%编码为肌肉骨骼的试验。使用PEDro量表评估方法学质量。我们使用《报告试验的统一标准》（CONSORT）声明中的9项内容评估试验的各个方面。我们进行了多元线性回归分析模型以预测PEDro总分。
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共有1404篇文章纳入分析。PEDro量表的平均总分是5.27±1.63分，这反映出方法学质量较低。随着时间推移，文章质量略有提高。预测PEDro量表总分的特征包括对CONSORT声明的认可、样本量计算、较少的主要结局数量、将电疗法作为干预措施进行评估、试验标题中是否报告了研究设计、参与者流程图的报告、发表年份（最近的试验）以及以英文发表的试验。
肌肉骨骼物理治疗试验的质量欠佳。所有期刊都应强制使用报告清单（如CONSORT声明）。期刊审稿人和期刊编辑在审稿过程中也应使用CONSORT声明。
