Reporting Quality and Adherence to the CONSORT Checklist of Randomized Controlled Trials Underpinning the American Academy of Orthopaedic Surgeons Upper Extremity Clinical Practice Guidelines

Research output: Contribution to conferencePosterpeer-review

Abstract

Background: Decision making in orthopaedics is strongly influenced by evidence-based medicine in the form of clinical practice guidelines (CPGs). Orthopaedic CPGs use randomized control trials (RCTs) to underpin recommendations that are made. It is imperative that the RCTs included in these CPGs have sufficient reporting quality and transparency to ensure the guidelines are based on the best evidence. To evaluate the quality of the studies, we used the 2010 CONSORT (Consolidated Standards Of Reporting Trials) statement checklist to score RCT adherence.

Methods: Four American Academy of Orthopaedic Surgeons Upper Extremity CPGs were selected and screened for RCTs. We extracted and scored 164 RCTs using a google form in a blinded, duplicate fashion. Disagreements between investigators were resolved for accuracy. Scores were given as a percentage out of 31 items, with a score of >75% signifying adequate adherence to CONSORT guidelines. Descriptive statistics were calculated for CONSORT scores.

Results: The mean adherence score of RCTs for all 4 CPGs was 67.3%. Items that had low adherence across guidelines were related to reporting of trial description, randomization methodology, and descriptions of generalizability. Items that scored highly across guidelines were reporting of outcomes, statistical methods, and background and rationale.

Conclusion: There has been improvement in the quality of reporting since the CONSORT statement was published in 2010. Despite this improvement, there is variability among published RCTs and their adherence to the checklist.
Original languageAmerican English
Pages34
StatePublished - 18 Feb 2022
EventOklahoma State University Center for Health Sciences Research Week 2022 : Poster Presentation - Oklahoma State University Center for Health Sciences, Tulsa, United States
Duration: 14 Feb 202218 Feb 2022
https://medicine.okstate.edu/research/docs/rw2022_agenda.pdf (Research Week 2022 Agenda)

Conference

ConferenceOklahoma State University Center for Health Sciences Research Week 2022
Country/TerritoryUnited States
CityTulsa
Period14/02/2218/02/22
Internet address

Keywords

  • CONSORT
  • evidence-based medicine
  • randomized controlled trials
  • clinical practice guidelines
  • AAOS upper extremity

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