Xu Yicong, Deng Zhengrong, Fei Fan, Zhou Shengtao
Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, State Key Laboratory of Biotherapy, West China Second Hospital, Sichuan University and Collaborative Innovation Center, Chengdu, P.R. China.
Department of Neurosurgery, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital; School of Medicine, University of Electronic Science and Technology of China, Chengdu, P.R. China.
iScience. 2024 Feb 20;27(3):109298. doi: 10.1016/j.isci.2024.109298. eCollection 2024 Mar 15.
Endometriosis is a chronic multisystem disease associated with immunological, genetic, hormonal, psychological, and neuroscientific factors, leading to a significant socioeconomic impact worldwide. Though multidisciplinary management is the ideal approach, there remains a scarcity of published interdisciplinary clinical trials at present. Here, we have conducted a comprehensive analysis of the characteristics and issues of interdisciplinary trials on endometriosis based on the clinical registration database ClinicalTrials.gov. Among all 387 endometriosis trials, 30% (116) were identified as interdisciplinary, mostly conducted in Europe and North America, and fully funded by non-industrial sources. We documented growth in both patient-centered multidisciplinary comprehensive management and collaboration between fundamental biomedical science and applied medicine. However, compared to traditional obstetric-gynecological trials, interdisciplinary studies exhibited negative characteristics such as less likely to be randomized and less likely to report results. Our study provides insights for future trial investigators and may contribute to fostering greater collaboration in medical research.
子宫内膜异位症是一种与免疫、遗传、激素、心理和神经科学因素相关的慢性多系统疾病,在全球范围内造成了重大的社会经济影响。尽管多学科管理是理想的方法,但目前已发表的跨学科临床试验仍然匮乏。在此,我们基于临床注册数据库ClinicalTrials.gov对子宫内膜异位症跨学科试验的特征和问题进行了全面分析。在所有387项子宫内膜异位症试验中,30%(116项)被确定为跨学科试验,这些试验大多在欧洲和北美进行,且完全由非行业来源提供资金。我们记录了以患者为中心的多学科综合管理以及基础生物医学与应用医学之间合作的发展情况。然而,与传统的妇产科试验相比,跨学科研究呈现出一些负面特征,如随机化可能性较小以及报告结果的可能性较小。我们的研究为未来的试验研究者提供了见解,并可能有助于促进医学研究中的更大合作。