リハビリテーション分野における論文報告の質 ランダム化比較試験を対象とした文献調査

〔目的〕リハビリ分野のRCT論文において,研究結果を印象付けるために本来目的とした結果以外を強調するSPINについて検証することとした.〔対象と方法〕対象文献の検索は MEDLINEなどを用いた.本文中に主要アウトカムが明記されておらず,かつ主要アウトカムの結果が統計的に有意差を認めるものは除外した.SPINは,抄録と本文の内容を比較し,主要アウトカムが有意でないものの介入の利益を強調するように記載しているか評価した.〔結果〕SPINであった抄録は32/42件(76.2%)で,本文の結果では20/42件(47.6%)であった.〔結語〕リハビリ分野のRCT論文の内容は,抄録の内容や本文の結果,考...

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Published in理学療法科学 Vol. 33; no. 4; pp. 669 - 674
Main Authors 杉田, 翔, 藤本, 修平, 小向, 佳奈子, 小林, 資英
Format Journal Article
LanguageJapanese
Published 理学療法科学学会 2018
Subjects
Online AccessGet full text
ISSN1341-1667
2434-2807
DOI10.1589/rika.33.669

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Abstract 〔目的〕リハビリ分野のRCT論文において,研究結果を印象付けるために本来目的とした結果以外を強調するSPINについて検証することとした.〔対象と方法〕対象文献の検索は MEDLINEなどを用いた.本文中に主要アウトカムが明記されておらず,かつ主要アウトカムの結果が統計的に有意差を認めるものは除外した.SPINは,抄録と本文の内容を比較し,主要アウトカムが有意でないものの介入の利益を強調するように記載しているか評価した.〔結果〕SPINであった抄録は32/42件(76.2%)で,本文の結果では20/42件(47.6%)であった.〔結語〕リハビリ分野のRCT論文の内容は,抄録の内容や本文の結果,考察からのみから判断することの危険性が示唆された.
AbstractList 「要旨:」〔目的〕リハビリ分野のRCT論文において, 研究結果を印象付けるために本来目的とした結果以外を強調するSPINについて検証することとした. 〔対象と方法〕対象文献の検索はMEDLINEなどを用いた. 本文中に主要アウトカムが明記されておらず, かつ主要アウトカムの結果が統計的に有意差を認めるものは除外した. SPINは, 抄録と本文の内容を比較し, 主要アウトカムが有意でないものの介入の利益を強調するように記載しているか評価した. 〔結果〕SPINであった抄録は32/42件(76.2%)で, 本文の結果では20/42件(47.6%)であった. 〔結語〕リハビリ分野のRCT論文の内容は, 抄録の内容や本文の結果, 考察からのみから判断することの危険性が示唆された.
〔目的〕リハビリ分野のRCT論文において,研究結果を印象付けるために本来目的とした結果以外を強調するSPINについて検証することとした.〔対象と方法〕対象文献の検索は MEDLINEなどを用いた.本文中に主要アウトカムが明記されておらず,かつ主要アウトカムの結果が統計的に有意差を認めるものは除外した.SPINは,抄録と本文の内容を比較し,主要アウトカムが有意でないものの介入の利益を強調するように記載しているか評価した.〔結果〕SPINであった抄録は32/42件(76.2%)で,本文の結果では20/42件(47.6%)であった.〔結語〕リハビリ分野のRCT論文の内容は,抄録の内容や本文の結果,考察からのみから判断することの危険性が示唆された.
Author 杉田, 翔
小向, 佳奈子
小林, 資英
藤本, 修平
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References 16) Boutron I, Altman DG, Hopewell S, et al.: Impact of spin in the abstracts of articles reporting results of randomized controlled trials in the field of cancer: the SPIIN randomized controlled trial. J Clin Oncol, 2014, 32: 4120-4126.
18) Lexchin J, Bero LA, Djulbegovic B, et al.: Pharmaceutical industry sponsorship and research outcome and quality: systematic review. BMJ, 2003, 326: 1167-1170.
22) Brooks RJ, Higgins GY, Webster AC: Systematic review of randomized controlled trial quality in pediatric kidney transplantation. Pediatr Nephrol, 2010, 25: 2383-2392.
26) Easterbrook PJ, Berlin JA, Gopalan R, et al.: Publication bias in clinical research. Lancet, 1991, 337: 867-872.
9) Rattinger G, Bero L: Factors associated with results and conclusions of trials of thiazolidinediones. PLoS One, 2009, 4: e5826.
21) Bigna JJ, Noubiap JJ, Asangbeh SL, et al.: Abstracts reporting of HIV/AIDS randomized controlled trials in general medicine and infectious diseases journals: completeness to date and improvement in the quality since CONSORT extension for abstracts. BMC Med Res Methodol, 2016, 16: 138.
23) Moberg-Mogren E, Nelson DL: Evaluating the quality of reporting occupational therapy randomized controlled trials by expanding the CONSORT criteria. Am J Occup Ther, 2006, 60: 226-235.
11) Chan AW, Hróbjartsson A, Haahr MT, et al.: Empirical evidence for selective reporting of outcomes in randomized trials: comparison of protocols to published articles. JAMA, 2004, 291: 2457-2465.
19) Shakiba B, Salmasian H, Yousefi-Nooraie R, et al.: Factors influencing editors’ decision on acceptance or rejection of manuscripts: the authors’ perspective. Arch Iran Med, 2008, 11: 257-262.
8) Jefferson T, Di Pietrantonj C, Debalini MG, et al.: Relation of study quality, concordance, take home message, funding, and impact in studies of influenza vaccines: systematic review. BMJ, 2009, 338: b354.
7) Saint S, Christakis DA, Saha S, et al.: Journal reading habits of internists. J Gen Intern Med, 2000, 15: 881-884.
14) Smyth RM, Kirkham JJ, Jacoby A, et al.: Frequency and reasons for outcome reporting bias in clinical trials: interviews with trialists. BMJ, 2011, 342: c7153.
20) Purcell GP, Donovan SL, Davidoff F: Changes to manuscripts during the editorial process: characterizing the evolution of a clinical paper. JAMA, 1998, 280: 227-228.
6) Ely JW, Osheroff JA, Ebell MH, et al.: Analysis of questions asked by family doctors regarding patient care. BMJ, 1999, 319: 358-361.
13) Dwan K, Altman DG, Arnaiz JA, et al.: Systematic review of the empirical evidence of study publication bias and outcome reporting bias. PLoS One, 2008, 3: e3081.
24) Peters JP, Hooft L, Grolman W, et al.: Reporting quality of systematic reviews and meta-analyses of otorhinolaryngologic articles based on the PRISMA statement. PLoS One, 2015, 10: e0136540.
15) Gøtzsche PC: We need access to all data from all clinical trials. Cochrane Database Syst Rev, 2011, 4: ED000035.
25) Ge L, Wang JC, Li JL, et al.: The assessment of the quality of reporting of systematic reviews/meta-analyses in diagnostic tests published by authors in China. PLoS One, 2014, 9: e85908.
2) Stolberg HO, Norman G, Trop I: Randomized controlled trials. AJR Am J Roentgenol, 2004, 183: 1539-1544.
12) Lockyer S, Hodgson R, Dumville JC, et al.: “Spin” in wound care research: the reporting and interpretation of randomized controlled trials with statistically non-significant primary outcome results or unspecified primary outcomes. Trials, 2013, 14: 371.
1) Concato J, Shah N, Horwitz RI: Randomized, controlled trials, observational studies, and the hierarchy of research designs. N Engl J Med, 2000, 342: 1887-1892.
3) Fletcher RH, Black B: “Spin” in scientific writing: scientific mischief and legal jeopardy. Med Law, 2007, 26: 511-525.
5) Alper BS, Hand JA, Elliott SG, et al.: How much effort is needed to keep up with the literature relevant for primary care? J Med Libr Assoc, 2004, 92: 429-437.
10) Boutron I, Dutton S, Ravaud P, et al.: Reporting and interpretation of randomized controlled trials with statistically nonsignificant results for primary outcomes. JAMA, 2010, 303: 2058-2064.
4) Tenopir C, King DW, Clarke MT, et al.: Journal reading patterns and preferences of pediatricians. J Med Libr Assoc, 2007, 95: 56-63.
17) Amos AJ: A review of spin and bias use in the early intervention in psychosis literature. Prim Care Companion CNS Disord, 2014, 16: pii: PCC.13r01586.
References_xml – reference: 7) Saint S, Christakis DA, Saha S, et al.: Journal reading habits of internists. J Gen Intern Med, 2000, 15: 881-884.
– reference: 17) Amos AJ: A review of spin and bias use in the early intervention in psychosis literature. Prim Care Companion CNS Disord, 2014, 16: pii: PCC.13r01586.
– reference: 4) Tenopir C, King DW, Clarke MT, et al.: Journal reading patterns and preferences of pediatricians. J Med Libr Assoc, 2007, 95: 56-63.
– reference: 13) Dwan K, Altman DG, Arnaiz JA, et al.: Systematic review of the empirical evidence of study publication bias and outcome reporting bias. PLoS One, 2008, 3: e3081.
– reference: 15) Gøtzsche PC: We need access to all data from all clinical trials. Cochrane Database Syst Rev, 2011, 4: ED000035.
– reference: 3) Fletcher RH, Black B: “Spin” in scientific writing: scientific mischief and legal jeopardy. Med Law, 2007, 26: 511-525.
– reference: 10) Boutron I, Dutton S, Ravaud P, et al.: Reporting and interpretation of randomized controlled trials with statistically nonsignificant results for primary outcomes. JAMA, 2010, 303: 2058-2064.
– reference: 5) Alper BS, Hand JA, Elliott SG, et al.: How much effort is needed to keep up with the literature relevant for primary care? J Med Libr Assoc, 2004, 92: 429-437.
– reference: 19) Shakiba B, Salmasian H, Yousefi-Nooraie R, et al.: Factors influencing editors’ decision on acceptance or rejection of manuscripts: the authors’ perspective. Arch Iran Med, 2008, 11: 257-262.
– reference: 21) Bigna JJ, Noubiap JJ, Asangbeh SL, et al.: Abstracts reporting of HIV/AIDS randomized controlled trials in general medicine and infectious diseases journals: completeness to date and improvement in the quality since CONSORT extension for abstracts. BMC Med Res Methodol, 2016, 16: 138.
– reference: 16) Boutron I, Altman DG, Hopewell S, et al.: Impact of spin in the abstracts of articles reporting results of randomized controlled trials in the field of cancer: the SPIIN randomized controlled trial. J Clin Oncol, 2014, 32: 4120-4126.
– reference: 20) Purcell GP, Donovan SL, Davidoff F: Changes to manuscripts during the editorial process: characterizing the evolution of a clinical paper. JAMA, 1998, 280: 227-228.
– reference: 22) Brooks RJ, Higgins GY, Webster AC: Systematic review of randomized controlled trial quality in pediatric kidney transplantation. Pediatr Nephrol, 2010, 25: 2383-2392.
– reference: 25) Ge L, Wang JC, Li JL, et al.: The assessment of the quality of reporting of systematic reviews/meta-analyses in diagnostic tests published by authors in China. PLoS One, 2014, 9: e85908.
– reference: 2) Stolberg HO, Norman G, Trop I: Randomized controlled trials. AJR Am J Roentgenol, 2004, 183: 1539-1544.
– reference: 23) Moberg-Mogren E, Nelson DL: Evaluating the quality of reporting occupational therapy randomized controlled trials by expanding the CONSORT criteria. Am J Occup Ther, 2006, 60: 226-235.
– reference: 18) Lexchin J, Bero LA, Djulbegovic B, et al.: Pharmaceutical industry sponsorship and research outcome and quality: systematic review. BMJ, 2003, 326: 1167-1170.
– reference: 26) Easterbrook PJ, Berlin JA, Gopalan R, et al.: Publication bias in clinical research. Lancet, 1991, 337: 867-872.
– reference: 24) Peters JP, Hooft L, Grolman W, et al.: Reporting quality of systematic reviews and meta-analyses of otorhinolaryngologic articles based on the PRISMA statement. PLoS One, 2015, 10: e0136540.
– reference: 1) Concato J, Shah N, Horwitz RI: Randomized, controlled trials, observational studies, and the hierarchy of research designs. N Engl J Med, 2000, 342: 1887-1892.
– reference: 11) Chan AW, Hróbjartsson A, Haahr MT, et al.: Empirical evidence for selective reporting of outcomes in randomized trials: comparison of protocols to published articles. JAMA, 2004, 291: 2457-2465.
– reference: 8) Jefferson T, Di Pietrantonj C, Debalini MG, et al.: Relation of study quality, concordance, take home message, funding, and impact in studies of influenza vaccines: systematic review. BMJ, 2009, 338: b354.
– reference: 14) Smyth RM, Kirkham JJ, Jacoby A, et al.: Frequency and reasons for outcome reporting bias in clinical trials: interviews with trialists. BMJ, 2011, 342: c7153.
– reference: 6) Ely JW, Osheroff JA, Ebell MH, et al.: Analysis of questions asked by family doctors regarding patient care. BMJ, 1999, 319: 358-361.
– reference: 9) Rattinger G, Bero L: Factors associated with results and conclusions of trials of thiazolidinediones. PLoS One, 2009, 4: e5826.
– reference: 12) Lockyer S, Hodgson R, Dumville JC, et al.: “Spin” in wound care research: the reporting and interpretation of randomized controlled trials with statistically non-significant primary outcome results or unspecified primary outcomes. Trials, 2013, 14: 371.
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Snippet 〔目的〕リハビリ分野のRCT論文において,研究結果を印象付けるために本来目的とした結果以外を強調するSPINについて検証することとした.〔対象と方法〕対象文献の検索は...
「要旨:」〔目的〕リハビリ分野のRCT論文において, 研究結果を印象付けるために本来目的とした結果以外を強調するSPINについて検証することとした. 〔対象と方法〕対象文献の検...
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エビデンスに基づく医療
報告バイアス
Subtitle ランダム化比較試験を対象とした文献調査
Title リハビリテーション分野における論文報告の質
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