Engel Dominique, Testa Giuseppe Dario, McIsaac Daniel I, Carli Francesco, Santa Mina Daniel, Baldini Gabriele, Scheede-Bergdahl Celena, Chevalier Stéphanie, Edgar Linda, Beilstein Christian M, Huber Markus, Fiore Julio F, Gillis Chelsia
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Anesthesia, McGill University, Montréal, QC, Canada.
Perioper Med (Lond). 2023 Aug 31;12(1):48. doi: 10.1186/s13741-023-00338-8.
Inadequate study reporting precludes interpretation of findings, pooling of results in meta-analyses, and delays knowledge translation. While prehabilitation interventions aim to enhance candidacy for surgery, to our knowledge, a review of the quality of reporting in prehabilitation has yet to be conducted. Our objective was to determine the extent to which randomized controlled trials (RCTs) of prehabilitation are reported according to methodological and intervention reporting checklists.
Eligibility criteria: RCTs of unimodal or multimodal prehabilitation interventions.
search was conducted in March 2022 using MEDLINE, Embase, PsychINFO, Web of Science, CINAHL, and Cochrane.
identified studies were compared to CONSORT, CERT & Modified CERT, TIDieR, PRESENT, and CONSORT-SPI. An agreement ratio (AR) was defined to evaluate if applicable guideline items were correctly reported. Data were analyzed as frequency (n, %) and mean with standard deviation (SD).
We identified 935 unique articles and included 70 trials published from 1994 to 2022. Most prehabilitation programs comprised exercise-only interventions (n = 40, 57%) and were applied before oncologic surgery (n = 32, 46%). The overall mean AR was 57% (SD: 20.9%). The specific mean ARs were as follows: CONSORT: 71% (SD: 16.3%); TIDieR: 62% (SD:17.7%); CERT: 54% (SD: 16.6%); Modified-CERT: 40% (SD:17.8%); PRESENT: 78% (SD: 8.9); and CONSORT-SPI: 47% (SD: 22.1).
Altogether, existing prehabilitation trials report approximately half of the checklist items recommended by methodological and intervention reporting guidelines. Reporting practices may improve with the development of a reporting checklist specific to prehabilitation interventions.
研究报告不充分会妨碍对研究结果的解读、荟萃分析中结果的汇总，以及知识转化的延迟。虽然术前康复干预旨在提高手术的适宜性，但据我们所知，尚未对术前康复报告的质量进行过综述。我们的目的是根据方法学和干预报告清单，确定术前康复随机对照试验（RCT）的报告程度。
纳入标准：单模式或多模式术前康复干预的随机对照试验。
2022年3月使用MEDLINE、Embase、PsychINFO、Web of Science、CINAHL和Cochrane进行了检索。
将纳入的研究与CONSORT、CERT及改良CERT、TIDieR、PRESENT和CONSORT-SPI进行比较。定义了一致率（AR）以评估适用的指南项目是否得到正确报告。数据以频率（n，%）和均值±标准差（SD）进行分析。
我们确定了935篇独特的文章，并纳入了1994年至2022年发表的70项试验。大多数术前康复计划仅包括运动干预（n = 40，57%），并应用于肿瘤手术前（n = 32，46%）。总体平均一致率为57%（标准差：20.9%）。具体的平均一致率如下：CONSORT：71%（标准差：16.3%）；TIDieR：62%（标准差：17.7%）；CERT：54%（标准差：16.6%）；改良CERT：40%（标准差：17.8%）；PRESENT：78%（标准差：8.9%）；CONSORT-SPI：47%（标准差：22.1%）。
总体而言，现有的术前康复试验报告了方法学和干预报告指南推荐的约一半清单项目。随着针对术前康复干预的报告清单的制定，报告实践可能会得到改善。
