Lee Sukyo, Kim Won Jun, Jeon Yeong, Lim Choon Hak, Sun Kyung
Korea University College of Medicine, Seoul, Korea.
Department of Anesthesiology and Pain Medicine, Korea University Anam Hospital, Seoul, Korea.
Acute Crit Care. 2018 Aug;33(3):178-184. doi: 10.4266/acc.2017.00444. Epub 2018 Aug 31.
Growing evidence for clinically significant differences between the sexes has attracted the attention of researchers. However, failures to report a test animal sex and balance the sex ratios of study samples remain widespread in preclinical investigations. We analyzed the sex-reporting rate and sex distributions of test animals in published oncology studies.
We selected five oncology journals included in the Scientific Citation Index (SCI) based on impact factors. We identified preclinical investigations with mouse experiments published in 2015 for inclusion in our study sample. We classified each article by whether or not it reported test subject sex, and by which sex was included. We also recorded whether there were justifications for using one particular sex in single-sex studies (e.g., anatomical reasons) and whether sex-based analyses were conducted for both-sex studies.
We surveyed a total of 382 articles. Half (50.3%) failed to report test animal sex. Among articles that did report sex, 91.7% were single-sex studies, of which 69.4% did not provide any justifications for using the sex included in the study. Relatively few studies 15.7 studies included animals of both sexes, and only 2.3 studies conducted sex-based analyses. These findings are consistent with those of previous research that used other methods to collect data from the literature such as text mining, but our analysis of the provision of justifications for using one sex versus the other is a novel feature.
Many researchers overlook test subject sex as a factor, but test animal sex should be reported in all preclinical investigations to enhance the reproducibility of research and avoid faulty conclusions drawn from one-sided studies.
越来越多的证据表明两性之间存在具有临床意义的差异,这引起了研究人员的关注。然而,在临床前研究中,未能报告实验动物性别以及平衡研究样本的性别比例的情况仍然普遍存在。我们分析了已发表的肿瘤学研究中实验动物的性别报告率和性别分布情况。
我们根据影响因子选择了五本被科学引文索引(SCI)收录的肿瘤学杂志。我们确定了2015年发表的包含小鼠实验的临床前研究纳入我们的研究样本。我们根据文章是否报告了实验对象的性别以及包含哪种性别对每篇文章进行分类。我们还记录了在单性别研究中使用某一特定性别的理由(例如解剖学原因),以及在双性别研究中是否进行了基于性别的分析。
我们总共调查了382篇文章。其中一半(50.3%)未报告实验动物的性别。在报告了性别的文章中,91.7%是单性别研究,其中69.4%没有为使用研究中包含的性别提供任何理由。相对较少的研究(15.7%)纳入了两性动物,只有2.3%的研究进行了基于性别的分析。这些发现与之前使用其他方法(如文本挖掘)从文献中收集数据的研究结果一致,但我们对使用一种性别而非另一种性别的理由提供情况的分析是一个新特点。
许多研究人员忽视了实验对象性别这一因素,但在所有临床前研究中都应报告实验动物的性别,以提高研究的可重复性,并避免从片面研究中得出错误结论。