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三本急症护理期刊中的方法学报告:重复性与可靠性

Methodology reporting in three acute care journals: replication and reliability.

作者信息

Brown C G, Kelen G D, Moser M, Moeschberger M L, Rund D A

出版信息

Ann Emerg Med. 1985 Oct;14(10):986-91. doi: 10.1016/s0196-0644(85)80244-4.

DOI:10.1016/s0196-0644(85)80244-4
PMID:4037480
Abstract

As the sciences of emergency medicine and acute care medicine develop, it becomes imperative for researchers in these fields to accurately and completely report the methodology of their investigations. It is only through complete reporting that other investigators can critically examine, replicate, or expand on the results of an investigation. The purpose of our study was to compare the completeness of methodology reporting in three acute care journals, Annals of Emergency Medicine, Critical Care Medicine, and Journal of Trauma. Thirty-eight criteria characteristics necessary for the replication of a clinical trial were identified and grouped into ten categories. The categories were experimental design, recruitment and exclusion of subjects, selection of study sample, subject allocation, therapeutic regimen, blindness, outcome criteria, analysis of confounders, withdrawal of subjects, and statistical analysis. All prospective, interventional, controlled trials appearing in these journals from January 1980 to June 1983 were identified. A total of 45 trials were found. Each trial was read independently by two reviewers to determine whether each of the 38 criteria was clearly reported, not clearly reported, or not applicable. Disagreements were resolved by a third reader (adjudicator). The results are reported as the mean proportion of items clearly reported +/- standard deviation: Annals of Emergency Medicine (n = 16), 0.39 +/- 0.10; Journal of Trauma (n = 18), 0.33 +/- 0.14; and Critical Care Medicine (n = 11), 0.32 +/- 0.09. A one-way analysis of variance found no statistically significant difference between journals with respect to these proportions (P = .25).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

随着急诊医学和急性病护理医学的发展,这些领域的研究人员准确、完整地报告其调查方法变得至关重要。只有通过完整的报告,其他研究人员才能严格审查、复制或拓展一项调查的结果。我们研究的目的是比较三种急性病护理期刊《急诊医学年鉴》《危重病医学》和《创伤杂志》中方法报告的完整性。确定了临床试验复制所需的38个标准特征,并将其分为十类。这些类别包括实验设计、受试者的招募与排除、研究样本的选择、受试者分配、治疗方案、盲法、结局标准、混杂因素分析、受试者退出以及统计分析。确定了1980年1月至1983年6月在这些期刊上发表的所有前瞻性、干预性、对照试验。共发现45项试验。两名评审员独立阅读每项试验,以确定38个标准中的每一个是否有明确报告、未明确报告或不适用。分歧由第三位读者(裁决者)解决。结果报告为明确报告项目的平均比例±标准差:《急诊医学年鉴》(n = 16),0.39 ± 0.10;《创伤杂志》(n = 18),0.33 ± 0.14;《危重病医学》(n = 11),0.32 ± 0.09。单因素方差分析发现,这些比例在各期刊之间无统计学显著差异(P = 0.25)。(摘要截短为250字)

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