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Consistency in the Analysis and Reporting of Primary End Points in Oncology Randomized Controlled Trials From Registration to Publication: A Systematic Review

Identifieur interne : 001585 ( PascalFrancis/Corpus ); précédent : 001584; suivant : 001586

Consistency in the Analysis and Reporting of Primary End Points in Oncology Randomized Controlled Trials From Registration to Publication: A Systematic Review

Auteurs : Benoit You ; Hui K. Gan ; Gregory Pond ; Eric X. Chen

Source :

RBID : Pascal:12-0103069

Descripteurs français

English descriptors

Abstract

Purpose To improve the quality of reporting of randomized clinical trials (RCTs), international registries for RCTs and guidelines for primary end point (PEP) analysis were established. The objectives of this systematic review were to evaluate concordance of PEP between publication and the corresponding registry and to assess intrapublication consistency in PEP reporting. Methods All adult oncology RCTs in solid tumors published in 10 journals between 2005 and 2009 were reviewed. Registration information was extracted from international trial registries. Results A total 366 RCTs were identified. Trial registration was found for 215 trials, and the rate increased from 43% in 2005 to 82% in 2009 (P< .001). There were 134 RCTs with clearly defined PEPs in registry, with the rate increasing from 15% to 67% (P< .001). PEP differed between registration and final publication in 14% trials with clearly defined PEPs. Reporting issues in methodology were found in 15% of RCTs, mainly because of inadequate reporting of PEP or sample size calculation. Problems with the interpretation of trial results were found in 22% publications, mostly resulting from negative superiority studies being interpreted as showing equivalence. Conclusion The rates of trial registration and of trials with clearly defined PEPs have improved over time; however, 14% of these trials reported a different PEP in the final publication. Intrapublication inconsistencies in PEP reporting are frequent. Our findings highlight the need for investigators, peer reviewers, and readers to exercise increased awareness and scrutiny of reporting outcomes of oncology RCTs.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0732-183X
A03   1    @0 J. clin. oncol.
A05       @2 30
A06       @2 2
A08 01  1  ENG  @1 Consistency in the Analysis and Reporting of Primary End Points in Oncology Randomized Controlled Trials From Registration to Publication: A Systematic Review
A11 01  1    @1 YOU (Benoit)
A11 02  1    @1 GAN (Hui K.)
A11 03  1    @1 POND (Gregory)
A11 04  1    @1 CHEN (Eric X.)
A14 01      @1 Princess Margaret Hospital, University Health Network @2 Toronto @3 CAN @Z 1 aut. @Z 2 aut. @Z 4 aut.
A14 02      @1 McMaster University @2 Hamilton, Ontario @3 CAN @Z 3 aut.
A14 03      @1 Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Benite; Faculté de Médecine Lyon-Sud, Oullins; Université de Lyon @2 Lyon @3 FRA @Z 1 aut.
A14 04      @1 Austin Hospital, Melbourne @2 Victoria @3 AUS @Z 2 aut.
A20       @1 210-216
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 20094 @5 354000508873560180
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 29 ref.
A47 01  1    @0 12-0103069
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of clinical oncology
A66 01      @0 USA
C01 01    ENG  @0 Purpose To improve the quality of reporting of randomized clinical trials (RCTs), international registries for RCTs and guidelines for primary end point (PEP) analysis were established. The objectives of this systematic review were to evaluate concordance of PEP between publication and the corresponding registry and to assess intrapublication consistency in PEP reporting. Methods All adult oncology RCTs in solid tumors published in 10 journals between 2005 and 2009 were reviewed. Registration information was extracted from international trial registries. Results A total 366 RCTs were identified. Trial registration was found for 215 trials, and the rate increased from 43% in 2005 to 82% in 2009 (P< .001). There were 134 RCTs with clearly defined PEPs in registry, with the rate increasing from 15% to 67% (P< .001). PEP differed between registration and final publication in 14% trials with clearly defined PEPs. Reporting issues in methodology were found in 15% of RCTs, mainly because of inadequate reporting of PEP or sample size calculation. Problems with the interpretation of trial results were found in 22% publications, mostly resulting from negative superiority studies being interpreted as showing equivalence. Conclusion The rates of trial registration and of trials with clearly defined PEPs have improved over time; however, 14% of these trials reported a different PEP in the final publication. Intrapublication inconsistencies in PEP reporting are frequent. Our findings highlight the need for investigators, peer reviewers, and readers to exercise increased awareness and scrutiny of reporting outcomes of oncology RCTs.
C02 01  X    @0 002B04
C03 01  X  FRE  @0 Tumeur maligne @2 NM @5 01
C03 01  X  ENG  @0 Malignant tumor @2 NM @5 01
C03 01  X  SPA  @0 Tumor maligno @2 NM @5 01
C03 02  X  FRE  @0 Primaire @5 02
C03 02  X  ENG  @0 Primary @5 02
C03 02  X  SPA  @0 Primario @5 02
C03 03  X  FRE  @0 Cancérologie @5 03
C03 03  X  ENG  @0 Cancerology @5 03
C03 03  X  SPA  @0 Cancerología @5 03
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C03 05  X  ENG  @0 Randomized controlled trial @4 CD @5 96
C03 05  X  SPA  @0 Ensayo aleatorio controlado @4 CD @5 96
C07 01  X  FRE  @0 Cancer @2 NM
C07 01  X  ENG  @0 Cancer @2 NM
C07 01  X  SPA  @0 Cáncer @2 NM
N21       @1 079
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0103069 INIST
ET : Consistency in the Analysis and Reporting of Primary End Points in Oncology Randomized Controlled Trials From Registration to Publication: A Systematic Review
AU : YOU (Benoit); GAN (Hui K.); POND (Gregory); CHEN (Eric X.)
AF : Princess Margaret Hospital, University Health Network/Toronto/Canada (1 aut., 2 aut., 4 aut.); McMaster University/Hamilton, Ontario/Canada (3 aut.); Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Benite; Faculté de Médecine Lyon-Sud, Oullins; Université de Lyon/Lyon/France (1 aut.); Austin Hospital, Melbourne/Victoria/Australie (2 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of clinical oncology; ISSN 0732-183X; Etats-Unis; Da. 2012; Vol. 30; No. 2; Pp. 210-216; Bibl. 29 ref.
LA : Anglais
EA : Purpose To improve the quality of reporting of randomized clinical trials (RCTs), international registries for RCTs and guidelines for primary end point (PEP) analysis were established. The objectives of this systematic review were to evaluate concordance of PEP between publication and the corresponding registry and to assess intrapublication consistency in PEP reporting. Methods All adult oncology RCTs in solid tumors published in 10 journals between 2005 and 2009 were reviewed. Registration information was extracted from international trial registries. Results A total 366 RCTs were identified. Trial registration was found for 215 trials, and the rate increased from 43% in 2005 to 82% in 2009 (P< .001). There were 134 RCTs with clearly defined PEPs in registry, with the rate increasing from 15% to 67% (P< .001). PEP differed between registration and final publication in 14% trials with clearly defined PEPs. Reporting issues in methodology were found in 15% of RCTs, mainly because of inadequate reporting of PEP or sample size calculation. Problems with the interpretation of trial results were found in 22% publications, mostly resulting from negative superiority studies being interpreted as showing equivalence. Conclusion The rates of trial registration and of trials with clearly defined PEPs have improved over time; however, 14% of these trials reported a different PEP in the final publication. Intrapublication inconsistencies in PEP reporting are frequent. Our findings highlight the need for investigators, peer reviewers, and readers to exercise increased awareness and scrutiny of reporting outcomes of oncology RCTs.
CC : 002B04
FD : Tumeur maligne; Primaire; Cancérologie; Revue bibliographique; Essai randomisé contrôlé
FG : Cancer
ED : Malignant tumor; Primary; Cancerology; Bibliographic review; Randomized controlled trial
EG : Cancer
SD : Tumor maligno; Primario; Cancerología; Revista bibliográfica; Ensayo aleatorio controlado
LO : INIST-20094.354000508873560180
ID : 12-0103069

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<SO>Journal of clinical oncology; ISSN 0732-183X; Etats-Unis; Da. 2012; Vol. 30; No. 2; Pp. 210-216; Bibl. 29 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose To improve the quality of reporting of randomized clinical trials (RCTs), international registries for RCTs and guidelines for primary end point (PEP) analysis were established. The objectives of this systematic review were to evaluate concordance of PEP between publication and the corresponding registry and to assess intrapublication consistency in PEP reporting. Methods All adult oncology RCTs in solid tumors published in 10 journals between 2005 and 2009 were reviewed. Registration information was extracted from international trial registries. Results A total 366 RCTs were identified. Trial registration was found for 215 trials, and the rate increased from 43% in 2005 to 82% in 2009 (P< .001). There were 134 RCTs with clearly defined PEPs in registry, with the rate increasing from 15% to 67% (P< .001). PEP differed between registration and final publication in 14% trials with clearly defined PEPs. Reporting issues in methodology were found in 15% of RCTs, mainly because of inadequate reporting of PEP or sample size calculation. Problems with the interpretation of trial results were found in 22% publications, mostly resulting from negative superiority studies being interpreted as showing equivalence. Conclusion The rates of trial registration and of trials with clearly defined PEPs have improved over time; however, 14% of these trials reported a different PEP in the final publication. Intrapublication inconsistencies in PEP reporting are frequent. Our findings highlight the need for investigators, peer reviewers, and readers to exercise increased awareness and scrutiny of reporting outcomes of oncology RCTs.</EA>
<CC>002B04</CC>
<FD>Tumeur maligne; Primaire; Cancérologie; Revue bibliographique; Essai randomisé contrôlé</FD>
<FG>Cancer</FG>
<ED>Malignant tumor; Primary; Cancerology; Bibliographic review; Randomized controlled trial</ED>
<EG>Cancer</EG>
<SD>Tumor maligno; Primario; Cancerología; Revista bibliográfica; Ensayo aleatorio controlado</SD>
<LO>INIST-20094.354000508873560180</LO>
<ID>12-0103069</ID>
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   |texte=   Consistency in the Analysis and Reporting of Primary End Points in Oncology Randomized Controlled Trials From Registration to Publication: A Systematic Review
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