Department for Health Evidence, Systematic Review Centre for Laboratory (animal) Experimentation (SYRCLE), Radboud University Medical Center, Nijmegen, The Netherlands.
Preclinicaltrials.eu, Netherlands Heart Institute, Utrecht, The Netherlands.
PLoS One. 2021 Dec 13;16(12):e0260619. doi: 10.1371/journal.pone.0260619. eCollection 2021.
Systematic reviews (SRs) are cornerstones of evidence-based medicine and have contributed significantly to breakthroughs since the 1980's. However, preclinical SRs remain relatively rare despite their many advantages. Since 2011 the Dutch health funding organisation (ZonMw) has run a grant scheme dedicated to promoting the training, coaching and conduct of preclinical SRs. Our study focuses on this funding scheme to investigate the relevance, effects and benefits of conducting preclinical SRs on researchers and their research.
We recruited researchers who attended funded preclinical SR workshops and who conducted, are still conducting, or prematurely stopped a SR with funded coaching. We gathered data using online questionnaires followed by semi-structured interviews. Both aimed to explore the impact of conducting a SR on researchers' subsequent work, attitudes, and views about their research field. Data-analysis was performed using Excel and ATLAS.ti.
Conducting preclinical SRs had two distinct types of impact. First, the researchers acquired new skills and insights, leading to a change in mindset regarding the quality of animal research. This was mainly seen in the way participants planned, conducted and reported their subsequent animal studies, which were more transparent and of a higher quality than their previous work. Second, participants were eager to share their newly acquired knowledge within their laboratories and to advocate for change within their research teams and fields of interest. In particular, they emphasised the need for preclinical SRs and improved experimental design within preclinical research, promoting these through education and published opinion papers.
Being trained and coached in the conduct of preclinical SRs appears to be a contributing factor to many beneficial changes which will impact the quality of preclinical research in the long-term. Our findings suggest that this ZonMw funding scheme is helpful in improving the quality and transparency of preclinical research. Similar funding schemes should be encouraged, preferably by a broader group of funders or financers, in the future.
系统评价(SRs)是循证医学的基石,自 20 世纪 80 年代以来,它们为许多突破做出了重要贡献。然而,尽管临床前 SR 有许多优势,但它们仍然相对较少。自 2011 年以来,荷兰卫生资助组织(ZonMw)一直在运行一项专门用于促进临床前 SR 培训、指导和实施的资助计划。我们的研究重点关注该资助计划,以调查进行临床前 SR 对研究人员及其研究的相关性、效果和益处。
我们招募了参加过资助的临床前 SR 研讨会的研究人员,以及正在进行、正在进行或提前停止有资助指导的 SR 的研究人员。我们使用在线问卷和半结构化访谈收集数据。这两种方法都旨在探索进行 SR 对研究人员后续工作、态度以及对其研究领域的看法的影响。数据分析使用 Excel 和 ATLAS.ti 进行。
进行临床前 SR 有两种截然不同的影响。首先,研究人员获得了新的技能和见解,导致他们对动物研究质量的看法发生了变化。这主要表现在参与者计划、进行和报告他们随后的动物研究的方式上,这些研究比他们以前的工作更加透明和高质量。其次,参与者渴望在他们的实验室中分享他们新获得的知识,并在他们的研究团队和感兴趣的领域中倡导变革。特别是,他们强调了在临床前研究中进行临床前 SR 和改进实验设计的必要性,并通过教育和发表意见论文来推动这一工作。
在临床前 SR 的实施方面接受培训和指导似乎是许多有益变化的促成因素,这些变化将长期影响临床前研究的质量。我们的研究结果表明,该 ZonMw 资助计划有助于提高临床前研究的质量和透明度。未来应该鼓励类似的资助计划,最好由更广泛的资助者或资金提供者来实施。