临床研究项目研究设计与分析的方法论质量评价

Yang Wang, Zhang Xu, Yujun Xu, Hua Gao, Li Hou, Rongrong Ji, Yan Zhang, Yanyan Zhao, Xiaokun Zhang, W. Li
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引用次数: 0

摘要

目的临床研究是医学发展的关键环节。临床研究结果的可靠性取决于研究设计和分析课程的质量。它还将进一步影响指南的制定和临床实践。本研究对临床研究质量进行了全过程的评价。方法本研究的受试者是2016年提交的政府资助项目的临床总结报告。标准化的数据收集表已被用于捕捉研究设计和数据分析质量方面的关键特征。在对数据准确性进行审查后,进行了描述性分析,以解释设计和分析方面的观察结果。结果我们的分析共包括67份项目总结报告。调查的前三个治疗领域是肿瘤学、心脑血管疾病和骨科(19.4%、11.9%和11.9%)。大多数研究都符合其原始计划的评估标准。94%的研究严格遵守原始方案,没有临时修订。同时,应改进关于样本量确定和适当使用多变量分析的报告。结论通常情况下,临床研究项目可以根据资金需求完成评估目标。但方法论的质量更应受到重视。强烈建议与专业统计团队合作,不断改进,以提高研究结果的有效性。关键词:临床研究;研究设计;统计分析;方法论质量
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Methodology quality assessment on study design and analysis of clinical research projects
Objective Clinical research is a critical procedure for the development of medicine. Reliability of the clinical research finding is determined by the quality of study design and analysis courses. It will also further impact the guideline development and clinical practice. This study was focus on the evaluation of clinical research quality during its whole process. Methods Subjects of this study were the clinical summary reports from a government funded project which were submitted in 2016. Standardized data collecting form had been used to capture the key features regarding to the quality of study design and data analysis. After the review of data accuracy, descriptive analysis had been carried to interpret the observed findings both for design and analysis aspects. Results There were 67 project summary reports included in our analysis. The top three investigated therapeutic areas were oncology, cardiovascular/cerebrovascular diseases and orthopedics (19.4%, 11.9% and 11.9%). Most of studies fulfilled the evaluation criteria according to their original plan. 94% studies were strictly compliance with the original protocol with no interim amendment. Meanwhile, the report on sample size determination and appropriate use of multi-variable analysis should be improved. Conclusions Usually, clinical research program can fulfill the evaluate goal according to funding requirements. But the methodology quality should be paid more attention. It is highly suggested to cooperate with the professional statistical team and do continuous improvement effort to enhance the validity of study findings. Key words: Clinical research; Study design; Statistical analysis; Methodology quality
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