Heterogeneity and gaps in reporting primary outcomes from neonatal trials

Autor: Baba, A, Webbe, J, Butcher, N, Rodrigues, C, Stallwood, E, Goren, K, Mansour, A, Chang, ASM, Trivedi, A, Manley, BJ, McCall, EM, Bogossian, F, Namba, F, Schmolzer, GM, Harding, JE, Nguyen, HKA, Doyle, LW, Jardine, L, Rysavy, MA, Konstantinidis, M, Meyer, M, Helmi, MAM, Lai, NM, Hay, S, Onland, W, Choo, YM, Gale, C, Soll, RF, Offringa, M
Rok vydání: 2023
Popis: Objective: Clear outcome reporting in clinical trials facilitates accurate interpretation and application of findings and improves evidence-informed decision-making. Standardized core outcomes for reporting neonatal trials have been developed, but little is known about how primary outcomes are reported in neonatal trials. Our aim was to identify strengths and weaknesses of primary outcome reporting in recent neonatal trials. Methods: Neonatal trials including ≥100 participants/arm published between 2015-2020 with at least one primary outcome from a neonatal core outcome set were eligible. Raters recruited from Cochrane Neonatal were trained to evaluate the trials’ primary outcome reporting completeness using relevant items from CONSORT 2010 and CONSORT-Outcomes 2022 pertaining to the reporting of the definition, selection, measurement, analysis, and interpretation of primary trial outcomes. All trial reports were assessed by 3 raters. Assessments and discrepancies between raters were analyzed. Results: Outcome reporting evaluations were completed for 36 included neonatal trials by 39 raters. Levels of outcome reporting completeness were highly variable. All trials fully reported the primary outcome measurement domain, statistical methods used to compare treatment groups, and participant flow. Yet, only 28% of trials fully reported on minimal important difference, 24% on outcome data missingness, 66% on blinding of the outcome assessor, and 42% on handling of outcome multiplicity. Conclusions: Primary outcome reporting in neonatal trials often lacks key information needed for interpretability of results, knowledge synthesis, and evidence-informed decision-making in neonatology. Use of existing outcome reporting guidelines by trialists, journals, and peer reviewers will enhance transparent reporting of neonatal trials.
Databáze: OpenAIRE