School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan NSW, 2308, Australia; Hunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend NSW, 2287, Australia.
School of Health Sciences, University of Sydney, PO Box M179, Missenden Rd, Camperdown NSW, 2050, Australia; Nepean Blue Mountains Local Health District, Penrith NSW, 2750, Australia.
J Clin Epidemiol. 2021 Nov;139:279-286. doi: 10.1016/j.jclinepi.2021.05.020. Epub 2021 Jun 6.
To assess the reporting quality of exercise interventions from clinical trials of low back pain (LBP).
We conducted a systematic review to assess the reporting quality of randomised controlled trials (RCTs) that investigated the effectiveness of exercise interventions for patients with LBP. Five online databases and Clinical Trial Registries were searched (October 2018). We included RCTs that reported interventions for LBP, containing at least 50% exercise. The Template for Intervention Description and Replication (TIDieR) and the Consensus on Exercise Reporting Template (CERT) reporting checklists were then used to assess quality of reporting.
582 trials were eligible for inclusion. Due to the large number of eligible studies, 100 studies were randomly selected for data extraction and coding with the TIDieR and CERT checklists. The random sample was representative of the 582 eligible trials. The overall completeness of reporting (median (IQR)) of TIDieR items was 59.2% (45.5%-72.7%) and CERT was 33.3% (22.2%-52.6%).
We found poor overall reporting with both checklists, which has not improved over time or since the introduction of the checklists. More dedicated work is required to address poor reporting of exercise interventions in clinical trials.
评估腰痛（LBP）临床试验中运动干预措施的报告质量。
我们进行了一项系统评价，以评估针对腰痛患者的运动干预措施有效性的随机对照试验（RCT）的报告质量。我们在五个在线数据库和临床试验注册中心进行了检索（2018 年 10 月）。我们纳入了报告了针对腰痛的干预措施的 RCT，这些干预措施至少包含 50%的运动。然后使用干预措施描述和复制模板（TIDieR）和运动报告模板共识（CERT）报告清单来评估报告质量。
582 项试验符合纳入标准。由于合格研究数量众多，我们随机抽取了 100 项研究进行 TIDieR 和 CERT 清单的数据提取和编码。随机样本代表了 582 项合格试验。TIDieR 项目的总体报告完整性（中位数（IQR））为 59.2%（45.5%-72.7%），CERT 为 33.3%（22.2%-52.6%）。
我们发现这两个清单的总体报告都很差，而且随着时间的推移或清单的引入并没有改善。需要更专门的工作来解决临床试验中运动干预措施报告不足的问题。
