Literature DB >> 19248133

Neglected external validity in reports of randomized trials: the example of hip and knee osteoarthritis.

Nizar Ahmad1, Isabelle Boutron, David Moher, Isabelle Pitrou, Carine Roy, Philippe Ravaud.   

Abstract

OBJECTIVE: To evaluate data reporting related to external validity from randomized controlled trials (RCTs) assessing pharmacologic and nonpharmacologic treatment for hip and knee osteoarthritis (OA).
METHODS: All RCTs assessing pharmacologic treatments and nonpharmacologic treatments for hip and knee OA indexed between January 2002 and December 2006 were selected. A sample of 120 articles were randomly selected: 30 each assessing pharmacologic treatments, surgery or technical interventions, rehabilitation, and nonimplantable devices.
RESULTS: The country was clearly reported in 25 (21%) reports, the setting described in 40 (33%) reports, and the number of centers in 54 (45%). Details about the centers (volume of care) were given in 24 (20%) reports. Rates were lower for surgical trials for the country (3%), the setting (3%), the number of centers (13%), and details about the centers (7%). The intervention was adequately described in all pharmacologic reports and in >80% of rehabilitation reports. The technical procedure was given in all surgical intervention trial reports, but the type of anesthesia was reported in 4 (13%), preoperative care in 2 (7%), and postoperative care in 15 (50%). The device was described in 93% of device trial reports, but the manufacturer was reported in only 33%.
CONCLUSION: There is low reporting of data related to external validity in reports of RCTs assessing pharmacologic and nonpharmacologic treatments for hip and knee OA.

Entities:  

Mesh:

Year:  2009        PMID: 19248133      PMCID: PMC2852415          DOI: 10.1002/art.24279

Source DB:  PubMed          Journal:  Arthritis Rheum        ISSN: 0004-3591


  46 in total

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Review 4.  Allocation concealment in randomised trials: defending against deciphering.

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Review 6.  Behavior change intervention research in healthcare settings: a review of recent reports with emphasis on external validity.

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4.  Improving the external validity of clinical trials: the case of multiple chronic conditions.

Authors:  Fortin Martin; Smith M Susan
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5.  The relationship between external and internal validity of randomized controlled trials: A sample of hypertension trials from China.

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Review 7.  Applicability and generalisability of published results of randomised controlled trials and non-randomised studies evaluating four orthopaedic procedures: methodological systematic review.

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Review 10.  RANDOMIZED CONTROLLED CLINICAL TRIALS IN ORTHOPEDICS: DIFFICULTIES AND LIMITATIONS.

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