Literature DB >> 14761905

Turning a blind eye: the success of blinding reported in a random sample of randomised, placebo controlled trials.

Dean Fergusson1, Kathleen Cranley Glass, Duff Waring, Stan Shapiro.   

Abstract

OBJECTIVE: To examine the reporting and success of double blinding in a sample of randomised, placebo controlled trials from leading general medicine and psychiatry journals.
METHODS: Identification of placebo controlled, randomised controlled trials from prespecified general medical and psychiatric journals indexed on Medline between 1 January 1998 and 1 October 2001, from which a random sample of 200 randomised clinical trials was chosen, of which 191 trials were evaluated.
RESULTS: Only seven of the 97 (7%) general medicine trials provided evidence on the success of blinding, with five reporting that the success of blinding was imperfect. In trials from psychiatric journals, the success of blinding was reported in eight of the 94 trials, with four reporting that the blinding was imperfect. Overall, only four of the 191 (2%) trials assessed blinding in the participants and either the outcome assessors or the investigators.
CONCLUSIONS: The current lack of reporting on the success of blinding provides little evidence that success of blinding is maintained in placebo controlled trials. Trialists and editors should make a concerted effort to incorporate, report, and publish such information and its potential effect on study results.

Entities:  

Mesh:

Year:  2004        PMID: 14761905      PMCID: PMC344259          DOI: 10.1136/bmj.37952.631667.EE

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  21 in total

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2.  Effect of alcohol on social phobic anxiety.

Authors:  J A Himle; J L Abelson; H Haghightgou; E M Hill; R M Nesse; G C Curtis
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3.  Efficacy of high-dose glycine in the treatment of enduring negative symptoms of schizophrenia.

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4.  Treatment of premenstrual dysphoric disorder with sertraline during the luteal phase: a randomized, double-blind, placebo-controlled crossover trial.

Authors:  S A Young; P H Hurt; D M Benedek; R S Howard
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5.  The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial.

Authors:  C von Schacky; P Angerer; W Kothny; K Theisen; H Mudra
Journal:  Ann Intern Med       Date:  1999-04-06       Impact factor: 25.391

6.  Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial.

Authors:  A L Stoll; W E Severus; M P Freeman; S Rueter; H A Zboyan; E Diamond; K K Cress; L B Marangell
Journal:  Arch Gen Psychiatry       Date:  1999-05

7.  Placebo-controlled trial of moclobemide in social phobia.

Authors:  F R Schneier; D Goetz; R Campeas; B Fallon; R Marshall; M R Liebowitz
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8.  Gastrointestinal symptoms in 3181 volunteers ingesting snack foods containing olestra or triglycerides. A 6-week randomized, placebo-controlled trial.

Authors:  R S Sandler; N L Zorich; T G Filloon; H B Wiseman; D J Lietz; M H Brock; M G Royer; R K Miday
Journal:  Ann Intern Med       Date:  1999-02-16       Impact factor: 25.391

9.  Acupuncture and amitriptyline for pain due to HIV-related peripheral neuropathy: a randomized controlled trial. Terry Beirn Community Programs for Clinical Research on AIDS.

Authors:  J C Shlay; K Chaloner; M B Max; B Flaws; P Reichelderfer; D Wentworth; S Hillman; B Brizz; D L Cohn
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10.  Nicotine nasal spray with nicotine patch for smoking cessation: randomised trial with six year follow up.

Authors:  T Blondal; L J Gudmundsson; I Olafsdottir; G Gustavsson; A Westin
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  49 in total

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Journal:  BMJ       Date:  2004-05-08

2.  Turning a blind eye: why we don't test for blindness at the end of our trials.

Authors:  David L Sackett
Journal:  BMJ       Date:  2004-05-08

3.  Turning a blind eye: authors have blinkered view of blinding.

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Journal:  BMJ       Date:  2004-05-08

4.  Future of psychotherapy in the NHS: control groups play important part.

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Journal:  BMJ       Date:  2010-03-23

Review 7.  Systemic lactose intolerance: a new perspective on an old problem.

Authors:  S B Matthews; J P Waud; A G Roberts; A K Campbell
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8.  The evolution of evidence hierarchies: what can Bradford Hill's 'guidelines for causation' contribute?

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Review 9.  Echinacea for preventing and treating the common cold.

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Review 10.  Assessing blinding in trials of psychiatric disorders: a meta-analysis based on blinding index.

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