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发表于急诊医学期刊的随机对照试验摘要的报告质量:一项文献系统调查表明我们可以做得更好。

Quality of reporting in abstracts of RCTs published in emergency medicine journals: a systematic survey of the literature suggests we can do better.

作者信息

Germini Federico, Marcucci Maura, Fedele Marta, Galli Maria Giulia, Heath Tevin, Mbuagbaw Lawrence, Salvatori Valentina, Veronese Giacomo, Worster Andrew, Thabane Lehana

机构信息

Department of Health Research Methods, Evidence and Impact (HEI), McMaster University, Hamilton, Ontario, Canada.

Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

出版信息

Emerg Med J. 2019 Nov 6:660-665. doi: 10.1136/emermed-2019-208629.

Abstract

OBJECTIVE

We investigated the association between the publication of the Consolidated Standards of Reporting Trials extension for abstracts (CONSORT-EA) and other variables of interest on the quality of reporting of abstracts of randomised controlled trials (RCTs) published in emergency medicine (EM) journals.

METHODS

We performed a survey of the literature, comparing the quality of reporting before (2005-2007) with after (2014-2015) the publication of the dedicated CONSORT-EA in 2008. The quality of reporting was measured as the sum of items of the CONSORT-EA checklist reported in each abstract, ranging from 0 to 15. The main explanatory variable was the period of publication: pre-CONSORT-EA versus post-CONSORT-EA public. Other explanatory variables were journal's endorsement of the CONSORT statement, number of centres participating in the study, study's sample size, type of intervention, significance of results, source of funding and study setting. We analysed the data using generalised estimation equations, performing a univariate and a multivariable analysis.

RESULTS

We retrieved 844 articles, and randomly selected 60 per period for review, after stratifying for journal. The mean (SD) number of items reported was 6.4 (1.9) in the period before and 6.9 (1.8) in the period after the publication of the CONSORT-EA, with an adjusted mean difference (aMD) of 0.47 (95% CI -0.13 to 1.06). Abstracts of trials of pharmacological interventions had a significantly larger mean number of reported items than those of trials of non-pharmacological interventions (aMD 1.59; 95% CI 0.94 to 2.24).

CONCLUSIONS

The quality of reporting in abstracts of RCTs published in EM journals is low and was not significantly impacted by the publication of a dedicated CONSORT-EA.

摘要

目的

我们调查了《随机对照试验报告的统一标准摘要扩展版》(CONSORT-EA)的发布与其他相关变量之间的关联,这些变量涉及发表在急诊医学(EM)期刊上的随机对照试验(RCT)摘要的报告质量。

方法

我们对文献进行了一项调查,比较了2008年专门的CONSORT-EA发布之前(2005 - 2007年)和之后(2014 - 2015年)的报告质量。报告质量通过每个摘要中报告的CONSORT-EA清单项目总和来衡量,范围从0到15。主要解释变量是发表时期:CONSORT-EA发布前与发布后。其他解释变量包括期刊对CONSORT声明的认可、参与研究的中心数量、研究样本量、干预类型、结果的显著性、资金来源和研究背景。我们使用广义估计方程分析数据,进行单变量和多变量分析。

结果

我们检索到844篇文章,在按期刊分层后,每个时期随机选择60篇进行审查。CONSORT-EA发布之前报告的项目平均(标准差)数量为6.4(1.9),之后为6.9(1.8),调整后的平均差异(aMD)为0.47(95%置信区间为 - 0.1十三到1.06)。药理学干预试验的摘要报告的平均项目数量显著多于非药理学干预试验(aMD 1.59;95%置信区间为0.94到2.24)。

结论

发表在EM期刊上的RCT摘要的报告质量较低,并且专门的CONSORT-EA的发布并未对其产生显著影响。

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