Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas

Background: Well designed clinical trials yield the strongest evidence for the effect of health care interventions. Aim: To assess the methodological quality of the design and report of randomized clinical trials in a sample, published in biomedical Chilean journals between 1980 and 2002. Material a...

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Autores principales: Manríquez M,Juan, Valdivia C,Gonzalo, Rada G,Gabriel, Letelier S,Luz María
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2005
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000400007
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spelling oai:scielo:S0034-988720050004000072005-06-13Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenasManríquez M,JuanValdivia C,GonzaloRada G,GabrielLetelier S,Luz María Methods Periodicals Publications Randomized controlled trials Background: Well designed clinical trials yield the strongest evidence for the effect of health care interventions. Aim: To assess the methodological quality of the design and report of randomized clinical trials in a sample, published in biomedical Chilean journals between 1980 and 2002. Material and methods: All trials identified by hand search by the Unit of Evaluation of Technologies in Health, were assessed for quality of randomization, blinding, analysis of results and other characteristics of trial design, along with the application of Jadad's Score, that assesses the methodological quality of clinical trials in a scale that ranges from 0 to 5. Results: Twenty eight trials were found and assessed, 75% (n=21) specified the method used for randomization, 29% (n=8) described a correct allocation concealment and 39% (n=11) were double blinded. Withdrawals and dropouts were correctly reported in 21% (n=6) of the articles, whereas intention to treat analysis was done only in one. Thirteen trials had a Jadad score equal or higher than 3 points. Conclusions: Several design deficiencies were found in the trials assessed. It is difficult to know if methodological weaknesses are due to incomplete reports or to methodologically poor designs. Adopting initiatives like the CONSORT can help improve the quality of randomized clinical trials published in Biomedical Chilean journalsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.4 20052005-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000400007es10.4067/S0034-98872005000400007
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Methods
Periodicals
Publications
Randomized controlled trials
spellingShingle Methods
Periodicals
Publications
Randomized controlled trials
Manríquez M,Juan
Valdivia C,Gonzalo
Rada G,Gabriel
Letelier S,Luz María
Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas
description Background: Well designed clinical trials yield the strongest evidence for the effect of health care interventions. Aim: To assess the methodological quality of the design and report of randomized clinical trials in a sample, published in biomedical Chilean journals between 1980 and 2002. Material and methods: All trials identified by hand search by the Unit of Evaluation of Technologies in Health, were assessed for quality of randomization, blinding, analysis of results and other characteristics of trial design, along with the application of Jadad's Score, that assesses the methodological quality of clinical trials in a scale that ranges from 0 to 5. Results: Twenty eight trials were found and assessed, 75% (n=21) specified the method used for randomization, 29% (n=8) described a correct allocation concealment and 39% (n=11) were double blinded. Withdrawals and dropouts were correctly reported in 21% (n=6) of the articles, whereas intention to treat analysis was done only in one. Thirteen trials had a Jadad score equal or higher than 3 points. Conclusions: Several design deficiencies were found in the trials assessed. It is difficult to know if methodological weaknesses are due to incomplete reports or to methodologically poor designs. Adopting initiatives like the CONSORT can help improve the quality of randomized clinical trials published in Biomedical Chilean journals
author Manríquez M,Juan
Valdivia C,Gonzalo
Rada G,Gabriel
Letelier S,Luz María
author_facet Manríquez M,Juan
Valdivia C,Gonzalo
Rada G,Gabriel
Letelier S,Luz María
author_sort Manríquez M,Juan
title Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas
title_short Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas
title_full Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas
title_fullStr Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas
title_full_unstemmed Análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas
title_sort análisis crítico de ensayos clínicos randomizados publicados en revistas biomédicas chilenas
publisher Sociedad Médica de Santiago
publishDate 2005
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000400007
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