评估护理期刊中经同行评审的出版物与临床试验登记之间的一致性。

IF 3.4 2区 医学 Q1 NURSING
Worldviews on Evidence-Based Nursing Pub Date : 2023-12-01 Epub Date: 2023-04-02 DOI:10.1111/wvn.12644
Hui-Hui Liu, Chun-Xiang Su, Zhang-Qi Li, Shu-Jin Yue, Shu-Han Cheng, Di Peng
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引用次数: 0

摘要

背景:随机临床试验(RCTs)登记与同行评议出版物之间的不一致可能会扭曲试验结果,威胁循证医学的有效性。目的:本综述旨在评估护理期刊中 RCTs 的出版物和登记记录中报告的主要结果和其他数据是否一致,以及主要结果报告中的差异是否有利于具有统计学意义的结果。此外,我们还审查了前瞻性登记的 RCT 所占的比例:我们在 PubMed 上系统地检索了 2020 年 3 月 5 日至 2022 年 3 月 5 日期间在排名前 10 的护理期刊上发表的 RCT。从出版物中提取注册号,并从注册平台中确定注册记录。对出版物和注册记录进行比较,以确定一致性。不一致之处又分为差异和遗漏:结果:共纳入了 70 项在 7 种期刊上发表的研究性试验。不一致之处涉及样本量估计(71.4%)、随机序列生成(75.7%)、分配隐藏(97.1%)、盲法(82.9%)、主要结果(60.0%)和次要结果(84.3%)。在主要结果的不一致中,21.4%是由于差异造成的,38.6%是由于遗漏造成的。53%(8/15)的主要结果存在差异,而这些差异在统计学上具有显著意义。此外,虽然只有 40.0% 的研究是前瞻性注册的,但随着时间的推移,前瞻性注册试验的数量呈上升趋势:我们的样本虽然不包括护理领域的所有 RCT,但反映了一个总体趋势:在所收录的护理期刊中,论文发表与试验登记不一致的情况非常普遍。我们的研究有助于提供一种提高研究报告透明度的方法。确保临床实践能够获得透明、可靠的研究成果对于实现最佳循证医学至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of consistency between peer-reviewed publications and clinical trial registrations in nursing journals.

Background: The inconsistencies between randomized clinical trials (RCTs) registrations and peer-reviewed publications may distort trial results and threaten the validity of evidence-based medicine. Previous studies have found many inconsistencies between RCTs registrations and peer-reviewed publications, and outcome reporting bias is prevalent.

Aims: The aims of this review were to assess whether the primary outcomes and other data reported in publications and registered records in RCTs of nursing journals were consistent and whether discrepancies in the reporting of primary outcomes favored statistically significant results. Moreover, we reviewed the proportion of RCTs for prospective registration.

Methods: We systematically searched PubMed for RCTs published in the top 10 nursing journals between March 5, 2020, and March 5, 2022. Registration numbers were extracted from the publications, and registered records were identified from the registration platforms. The publications and registered records were compared to identify consistency. Inconsistencies were subdivided into discrepancies and omissions.

Results: A total of 70 RCTs published in seven journals were included. The inconsistencies involved sample size estimation (71.4%), random sequence generation (75.7%), allocation concealment (97.1%), blinding (82.9%), primary outcomes (60.0%) and secondary outcomes (84.3%). Among the inconsistencies in the primary outcomes, 21.4% were due to discrepancies and 38.6% resulted from omissions. Fifty-three percent (8/15) presented discrepancies in the primary outcomes that favored statistically significant results. Additionally, although only 40.0% of the studies were prospective registrations, the number of prospectively registered trials has trended upward over time.

Linking evidence to action: While not including all RCTs in the nursing field, our sample reflected a general trend: inconsistencies between publications and trial registrations were prevalent in the included nursing journals. Our research helps to provide a way to improve the transparency of research reports. Ensuring that clinical practice has access to transparent and reliable research results are essential to achieve the best possible evidence-based medicine.

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来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
审稿时长
>12 weeks
期刊介绍: The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence­-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.
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