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关于新冠病毒疾病干预措施随机试验报告的摘要质量低下且夸大其词。

Abstracts for reports of randomised trials of COVID-19 interventions had low quality and high spin.

作者信息

Wang Dongguang, Chen Lingmin, Wang Lian, Hua Fang, Li Juan, Li Yuxi, Zhang Yonggang, Fan Hong, Li Weimin, Clarke Mike

机构信息

Department of Respiratory and Critical Care Medicine, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, China.

Department of Anesthesiology and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University & The Research Units of West China (2018RU012, Chinese Academy of Medical Sciences), Chengdu, China.

出版信息

J Clin Epidemiol. 2021 Jul 2;139:107-120. doi: 10.1016/j.jclinepi.2021.06.027.

Abstract

OBJECTIVES

To assess the reporting quality of abstracts for published randomized controlled trials (RCTs) of interventions for coronavirus disease 2019 (COVID-19), including the use of spin strategies and the level of spin for RCTs with statistically non-significant primary outcomes, and to explore potential predictors for reporting quality and the severity of spin.

STUDY DESIGN AND SETTING

PubMed was searched to find RCTs that tested interventions for COVID-19, and the reporting quality and spin in the abstracts were assessed. Linear regression analyses were used to identify potential predictors.

RESULTS

Forty RCT abstracts were included in our assessment of reporting quality, and a higher word count in the abstract was significantly correlated with higher reporting scores (95% CI 0.044 to 0.658, P=0.026). Multiple spin strategies were identified. Our multivariate analyses showed that geographical origin was associated with severity of spin, with research from non-Asian regions containing fewer spin strategies (95% CI -0.760 to -0.099, P=0.013).

CONCLUSIONS

The reporting quality of abstracts of RCTs of interventions for COVID-19 is far from satisfactory. A relatively high proportion of the abstracts contained spin, and the findings reported in the results and conclusion sections of these abstracts need to be interpreted with caution.

摘要

目的

评估已发表的2019冠状病毒病(COVID-19)干预措施随机对照试验(RCT)摘要的报告质量,包括使用的倾向性策略以及主要结局无统计学显著性的RCT的倾向性水平,并探讨报告质量和倾向性严重程度的潜在预测因素。

研究设计与背景

检索PubMed以查找测试COVID-19干预措施的RCT,并评估摘要中的报告质量和倾向性。使用线性回归分析来识别潜在的预测因素。

结果

40篇RCT摘要被纳入我们对报告质量的评估,摘要中较高的字数与较高的报告分数显著相关(95%CI 0.044至0.658,P=0.026)。识别出多种倾向性策略。我们的多变量分析表明,地理来源与倾向性严重程度相关,非亚洲地区的研究包含的倾向性策略较少(95%CI -0.760至-0.099,P=0.013)。

结论

COVID-19干预措施RCT摘要的报告质量远不能令人满意。相当一部分摘要包含倾向性内容,这些摘要结果和结论部分报告的研究结果需要谨慎解读。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/831b/8253697/c3798c1170b8/gr1_lrg.jpg

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