Jesus Tiago S, Gianola Silvia, Castellini Greta, Colquhoun Heather, Brooks Dina
Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon, Lisbon, Portugal.
Center of Biostatistics for Clinical Epidemiology, School of Medicine and Surgery, University of Milano-Bicocca.
Physiother Can. 2020 Spring;72(2):122-131. doi: 10.3138/ptc-2018-0065.
The aim of this study was to comparatively analyze evolving trends in physiotherapy (PT) research publications (excluding case reports and epidemiological and qualitative studies) between 1995 and 2015, inclusively in terms of research design, funding support, age groups, and health conditions. This was an observational study using PubMed-indexed data. Combinations of medical subject headings identified yearly research publications for PT and comparator fields: human-based health and physical rehabilitation. Yearly publications data were extracted, relative percentages were computed, and linear or exponential regressions examined the yearly growth in the proportion of research publications over these 2 decades. As a percentage of human-based health research publications, PT research publications grew exponentially: from 0.54% in 1995 to 2.37% in 2015 (² = 0.97; < 0.01). As a percentage of physical rehabilitation research publications, PT research grew from 38.2% in 1995 to 58.7% in 2015 (² = 0.89; < 0.01). Randomized controlled trials (RCTs) resulted in the majority of PT research publications (from 45.1% in 1995 to 59.4% in 2015; ² = 0.79; < 0.01). Rates of declared funding increased (from 29.7% in 1995 to 57% in 2015; ² = 0.83; < 0.01), but the comparator fields had similar growth. The percentage of PT research publications remained stable for most health conditions and age groups, decreased for those aged 0-18 years ( = 0.012) and for cardiovascular and pulmonary conditions (both < 0.01), and increased for neoplasms ( < 0.01). PT research publications have become more prevalent among health and physical rehabilitation research publications; the majority of publications report on RCTs.
本研究旨在比较分析1995年至2015年期间物理治疗(PT)研究出版物(不包括病例报告、流行病学和定性研究)在研究设计、资金支持、年龄组和健康状况方面的发展趋势。这是一项使用PubMed索引数据的观察性研究。医学主题词的组合确定了PT及对照领域(基于人类的健康和物理康复)的年度研究出版物。提取年度出版物数据,计算相对百分比,并通过线性或指数回归分析这20年中研究出版物比例的年度增长情况。作为基于人类健康研究出版物的百分比,PT研究出版物呈指数增长:从1995年的0.54%增长到2015年的2.37%(² = 0.97;< 0.01)。作为物理康复研究出版物的百分比,PT研究从1995年的38.2%增长到2015年的58.7%(² = 0.89;< 0.01)。随机对照试验(RCT)产生了大多数PT研究出版物(从1995年的45.1%增长到2015年的59.4%;² = 0.79;< 0.01)。申报资金的比例有所增加(从1995年的29.7%增长到2015年的57%;² = 0.83;< 0.01),但对照领域也有类似的增长。对于大多数健康状况和年龄组,PT研究出版物的百分比保持稳定,0至18岁年龄组以及心血管和肺部疾病的百分比下降(均< 0.01),而肿瘤疾病的百分比增加(< 0.01)。PT研究出版物在健康和物理康复研究出版物中变得更加普遍;大多数出版物报告的是RCT。