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.
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 language | American English |
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Pages | 34 |
State | Published - 18 Feb 2022 |
Event | Oklahoma State University Center for Health Sciences Research Week 2022 : Poster Presentation - Oklahoma State University Center for Health Sciences, Tulsa, United States Duration: 14 Feb 2022 → 18 Feb 2022 https://medicine.okstate.edu/research/docs/rw2022_agenda.pdf (Research Week 2022 Agenda) |
Conference
Conference | Oklahoma State University Center for Health Sciences Research Week 2022 |
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Country/Territory | United States |
City | Tulsa |
Period | 14/02/22 → 18/02/22 |
Internet address |
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Keywords
- CONSORT
- evidence-based medicine
- randomized controlled trials
- clinical practice guidelines
- AAOS upper extremity