Nomura Osamu, Kobayashi Toru, Nagata Chie, Kuriyama Takeshi, Sako Mayumi, Saito Kazuyuki, Ishiguro Akira
Department of Education for Clinical Research, National Center for Child Health and Development, Tokyo, Japan.
Department of Management and Strategy, National Center for Child Health and Development, Tokyo, Japan.
JMA J. 2020 Apr 15;3(2):131-137. doi: 10.31662/jmaj.2019-0037. Epub 2020 Apr 7.
Infrastructure and the capacity to conduct clinical research in pediatrics have not been fully established in Japan. To elucidate the physicians' perspectives on clinical research, level of experience, existing barriers, and requests for support, we conducted a survey at 34 children's hospitals in Japan.
In January 2016, an online survey with 13 questions was sent to approximately 2000 physicians working in 34 pediatric hospitals belonging to the Japanese Association of Children's Hospitals and Related Institutions.
Of the 360 respondents, 318 (88.3%) had presentations at academic conferences, and 261 (72.5%) had publications in academic journals, in the previous year. The most common study designs of clinical research conducted were case reports and case series. The most requested supports were for statistical analysis, followed by study design, grant application, and English-language editing. Younger physicians were more likely to prefer educational lectures ( < 0.001), whereas experienced physicians were more likely to request support for conducting statistical analysis ( = 0.002). Whereas physicians who had ever led a clinical trial requested support for the development of study protocol ( = .013), those without this experience preferred support for literature review ( = .002) and consultation services for study design ( = .027).
The requests for supports were different, depending on the physicians' years after graduation and experience level in clinical research. In order to enhance clinical research in pediatrics, it is essential to provide appropriate types and levels of educational and support programs.
日本儿科临床研究的基础设施和能力尚未完全建立。为了阐明医生对临床研究的看法、经验水平、现有障碍以及对支持的需求,我们在日本的34家儿童医院进行了一项调查。
2016年1月,我们向隶属于日本儿童医院及相关机构协会的34家儿科医院的约2000名医生发送了一份包含13个问题的在线调查问卷。
在360名受访者中,318名(88.3%)在前一年有在学术会议上发表演讲,261名(72.5%)有在学术期刊上发表文章。开展的临床研究中最常见的研究设计是病例报告和病例系列。最需要的支持是统计分析,其次是研究设计、资助申请和英文编辑。年轻医生更倾向于教育讲座(<0.001),而经验丰富的医生更倾向于请求统计分析方面的支持(=0.002)。曾主导过临床试验的医生请求在研究方案制定方面获得支持(=0.013),而没有这种经验的医生更倾向于文献综述方面的支持(=0.002)和研究设计咨询服务(=0.027)。
对支持的需求因医生毕业后的年限和临床研究经验水平而异。为了加强儿科临床研究,提供适当类型和水平的教育及支持项目至关重要。