Characteristics of randomized trials published in Latin America and the Caribbean according to funding source.

<h4>Introduction</h4>Few studies have assessed the nature and quality of randomized controlled trials (RCTs) in Latin America and the Caribbean (LAC).<h4>Methods and findings</h4>The aims of this systematic review are to evaluate the characteristics (including the risk of bia...

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Autores principales: Ludovic Reveiz, Stephanie Sangalang, Demian Glujovsky, Carlos E Pinzon, Claudia Asenjo Lobos, Marcela Cortes, Martin Cañón, Ariel Bardach, Xavier Bonfill
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:57f64bc562ad4d35806c84bb171fea832021-11-18T07:57:38ZCharacteristics of randomized trials published in Latin America and the Caribbean according to funding source.1932-620310.1371/journal.pone.0056410https://doaj.org/article/57f64bc562ad4d35806c84bb171fea832013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23418566/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Few studies have assessed the nature and quality of randomized controlled trials (RCTs) in Latin America and the Caribbean (LAC).<h4>Methods and findings</h4>The aims of this systematic review are to evaluate the characteristics (including the risk of bias assessment) of RCT conducted in LAC according to funding source. A review of RCTs published in 2010 in which the author's affiliation was from LAC was performed in PubMed and LILACS. Two reviewers independently extracted data and assessed the risk of bias. The primary outcomes were risk of bias assessment and funding source. A total of 1,695 references were found in PubMed and LILACS databases, of which 526 were RCTs (N = 73.513 participants). English was the dominant publication language (93%) and most of the RCTs were published in non-LAC journals (84.2%). Only five of the 19 identified countries accounted for nearly 95% of all RCTs conducted in the region (Brazil 70.9%, Mexico 10.1%, Argentina 5.9%, Colombia 3.8%, and Chile 3.4%). Few RCTs covered priority areas related with Millennium Development Goals like maternal health (6.7%) or high priority infectious diseases (3.8%). Regarding children, 3.6% and 0.4% RCT evaluated nutrition and diarrhea interventions respectively but none pneumonia. As a comparison, aesthetic and sport related interventions account for 4.6% of all trials. A random sample of RCTs (n = 358) was assessed for funding source: exclusively public (33.8%); private (e.g. pharmaceutical company) (15.3%); other (e.g. mixed, NGO) (15.1%); no funding (35.8%). Overall assessments for risk of bias showed no statistically significant differences between RCTs and type of funding source. Statistically significant differences favoring private and others type of funding was found when assessing trial registration and conflict of interest reporting.<h4>Conclusion</h4>Findings of this study could be used to provide more direction for future research to facilitate innovation, improve health outcomes or address priority health problems.Ludovic ReveizStephanie SangalangDemian GlujovskyCarlos E PinzonClaudia Asenjo LobosMarcela CortesMartin CañónAriel BardachXavier BonfillPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e56410 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ludovic Reveiz
Stephanie Sangalang
Demian Glujovsky
Carlos E Pinzon
Claudia Asenjo Lobos
Marcela Cortes
Martin Cañón
Ariel Bardach
Xavier Bonfill
Characteristics of randomized trials published in Latin America and the Caribbean according to funding source.
description <h4>Introduction</h4>Few studies have assessed the nature and quality of randomized controlled trials (RCTs) in Latin America and the Caribbean (LAC).<h4>Methods and findings</h4>The aims of this systematic review are to evaluate the characteristics (including the risk of bias assessment) of RCT conducted in LAC according to funding source. A review of RCTs published in 2010 in which the author's affiliation was from LAC was performed in PubMed and LILACS. Two reviewers independently extracted data and assessed the risk of bias. The primary outcomes were risk of bias assessment and funding source. A total of 1,695 references were found in PubMed and LILACS databases, of which 526 were RCTs (N = 73.513 participants). English was the dominant publication language (93%) and most of the RCTs were published in non-LAC journals (84.2%). Only five of the 19 identified countries accounted for nearly 95% of all RCTs conducted in the region (Brazil 70.9%, Mexico 10.1%, Argentina 5.9%, Colombia 3.8%, and Chile 3.4%). Few RCTs covered priority areas related with Millennium Development Goals like maternal health (6.7%) or high priority infectious diseases (3.8%). Regarding children, 3.6% and 0.4% RCT evaluated nutrition and diarrhea interventions respectively but none pneumonia. As a comparison, aesthetic and sport related interventions account for 4.6% of all trials. A random sample of RCTs (n = 358) was assessed for funding source: exclusively public (33.8%); private (e.g. pharmaceutical company) (15.3%); other (e.g. mixed, NGO) (15.1%); no funding (35.8%). Overall assessments for risk of bias showed no statistically significant differences between RCTs and type of funding source. Statistically significant differences favoring private and others type of funding was found when assessing trial registration and conflict of interest reporting.<h4>Conclusion</h4>Findings of this study could be used to provide more direction for future research to facilitate innovation, improve health outcomes or address priority health problems.
format article
author Ludovic Reveiz
Stephanie Sangalang
Demian Glujovsky
Carlos E Pinzon
Claudia Asenjo Lobos
Marcela Cortes
Martin Cañón
Ariel Bardach
Xavier Bonfill
author_facet Ludovic Reveiz
Stephanie Sangalang
Demian Glujovsky
Carlos E Pinzon
Claudia Asenjo Lobos
Marcela Cortes
Martin Cañón
Ariel Bardach
Xavier Bonfill
author_sort Ludovic Reveiz
title Characteristics of randomized trials published in Latin America and the Caribbean according to funding source.
title_short Characteristics of randomized trials published in Latin America and the Caribbean according to funding source.
title_full Characteristics of randomized trials published in Latin America and the Caribbean according to funding source.
title_fullStr Characteristics of randomized trials published in Latin America and the Caribbean according to funding source.
title_full_unstemmed Characteristics of randomized trials published in Latin America and the Caribbean according to funding source.
title_sort characteristics of randomized trials published in latin america and the caribbean according to funding source.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/57f64bc562ad4d35806c84bb171fea83
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