Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada; Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada; Respiratory Epidemiology and Clinical Research Unit, McGill University Health Centre, Montreal, Quebec, Canada.
J Clin Epidemiol. 2020 Aug;124:16-23. doi: 10.1016/j.jclinepi.2020.03.026. Epub 2020 Apr 13.
The objectives were to determine the proportion of eligible randomized controlled trials (RCTs) that contributed data to individual participant data meta-analyses (IPDMAs) and explore associated factors.
IPDMAs with ≥10 eligible RCTs were identified by searching MEDLINE, EMBASE, CINAHL, and Cochrane May 1, 2015 to February 13, 2017. Mixed-effect logistic regression was used to identify factors associated with data contribution.
Of 774 eligible RCTs from 35 included IPDMAs, 517 (67%, 95% confidence interval [CI]: 63%-70%) contributed data. Compared to RCTs from journals with low-impact factors (0-2.4), RCTs from journals with higher impact factors were more likely to contribute data: impact factor 5.0-9.9, odds ratio [OR] 2.6, 95% CI: 1.37-4.86; impact factor: 10.0-19.9, OR: 5.7, 95% CI: 3.0-10.8; impact factor >20.0, OR: 4.6, 95% CI: 1.9-11.4. RCTs from the United Kingdom were more likely to contribute data than those from the United States (reference; OR: 2.4, 95% CI, 1.3-4.6). There was an increase in OR per publication year (OR: 1.05, 95% CI: 1.02-1.09).
The country where RCTs are conducted, impact factor of the journal where RCTs are published, and RCT publication year were associated with data contribution in IPDMAs with ≥10 eligible RCTs.
本研究旨在确定纳入个体参与者数据荟萃分析(IPDMA)的合格随机对照试验(RCT)的比例,并探讨其相关因素。
通过检索 MEDLINE、EMBASE、CINAHL 和 Cochrane 数据库,于 2015 年 5 月 1 日至 2017 年 2 月 13 日,确定了纳入≥10 项合格 RCT 的 IPDMA。采用混合效应逻辑回归分析确定与数据贡献相关的因素。
在纳入的 35 项 IPDMA 中,有 774 项合格 RCT,其中 517 项(67%,95%置信区间[CI]:63%-70%)提供了数据。与影响因子低(0-2.4)的期刊相比,影响因子高(5.0-9.9、10.0-19.9、>20.0)的期刊中的 RCT 更有可能提供数据:影响因子 5.0-9.9 的 RCT 的比值比(OR)为 2.6,95%CI:1.37-4.86;影响因子 10.0-19.9 的 RCT 的 OR 为 5.7,95%CI:3.0-10.8;影响因子>20.0 的 RCT 的 OR 为 4.6,95%CI:1.9-11.4。与来自美国的 RCT 相比,来自英国的 RCT 更有可能提供数据(OR:2.4,95%CI:1.3-4.6)。OR 随每年发表的 RCT 数量而增加(OR:1.05,95%CI:1.02-1.09)。
RCT 开展国家、RCT 发表期刊影响因子以及 RCT 发表年份与纳入≥10 项合格 RCT 的 IPDMA 数据贡献相关。