The reproducibility of interventional radiology randomized controlled trials and external validation of a classification system

Autor: Assala Aslan, Christopher Stevens, Amro Saad Aldine, Ahmed Mamilly, Luis De Alba, Octavio Arevalo, Chaitanya Ahuja, Hugo H. Cuellar
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Diagnostic and Interventional Radiology, Vol 29, Iss 3, Pp 529-534 (2023)
Druh dokumentu: article
ISSN: 1305-3825
1305-3612
DOI: 10.4274/dir.2023.222052
Popis: PURPOSEThe fragility index (FI) measures the robustness of randomized controlled trials (RCTs). It complements the P value by taking into account the number of outcome events. In this study, the authors measured the FI for major interventional radiology RCTs.METHODSInterventional radiology RCTs published between January 2010 and December 2022 relating to trans-jugular intrahepatic portosystemic shunt, trans-arterial chemoembolization, needle biopsy, angiography, angioplasty, thrombolysis, and nephrostomy tube insertion were analyzed to measure the FI and robustness of the studies.RESULTSA total of 34 RCTs were included. The median FI of those studies was 4.5 (range 1–68). Seven trials (20.6%) had a number of patients lost to follow-up that was higher than their FI, and 15 (44.1%) had a FI of 1–3.CONCLUSIONThe median FI, and hence the reproducibility of interventional radiology RCTs, is low compared to other medical fields, with some having a FI of 1, which should be interrupted cautiously.
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