Reporting of Clinical Details in Randomized Controlled Trials of Acupuncture for the Treatment of Migraine/Headaches and Nausea/Vomiting
Notice bibliographique
Résumé
OBJECTIVES: The main purpose of this study was to investigate the degree of reporting of clinical details in a selected sample of 30 randomized control trials (RCT) on acupuncture efficacy for the treatment of migraine/headaches (n = 11) and for nausea/vomiting (n = 19). Additional goals included the assessment of the quality of randomization of the trials, and the assessment of the degree of reporting of information about the outcome measures used in each trial. METHODS: A checklist of 50 clinical details selected on the basis of a previous survey was used to evaluate the degree of reporting of information about patients, practitioners, diagnosis, and acupuncture treatments presented in each RCT. The likelihood of bias in the randomization process was assessed using a previously validated scale. Information about reliability/validity and clinical significance of the outcome measures used in each trial was assessed in terms of fully, partially, or not reported, with no attempt to evaluate their quality or appropriateness. RESULTS: In this sample of RCTs an average of 38.7% of important clinical details per trial were either fully or partially reported by researchers, the lowest being 26.4% for the migraine/headaches group. Studies with better quality of randomization were not more likely to report important clinical details. Only five studies (16.7%) provided information about reliability and validity of the outcome measures used, and only four studies (13.3%), all from the migraines/headache group, discussed the clinical significance of the outcome measures selected. CONCLUSIONS: In this sample of 30 RCTs of acupuncture efficacy for the treatment of migraines/headache and nausea/vomiting, researchers neglected to report adequately on important clinical details, and often did not discuss the reliability, validity, and clinical significance of the outcome measures used in the trials, thus rendering potential readers of the articles unable to critically appraise them from a clinical standpoint. In addition, the fact that the quality of randomization of the trials was totally unrelated to the degree of reporting of clinical details renders potential reviewers of these studies unable to establish valid conclusions about acupuncture efficacy based on the general quality of the methodological design. In the future, all areas of clinical acupuncture research need to be reviewed in a similar manner, and recommendations about proper reporting of important clinical details and proper discussion of the validity, reliability, and clinical significance of the outcome measures used in each trial should be made. Only then could this research be used to generate meaningful evidence-based recommendations for the contemporary practice of acupuncture.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,044 | 0,024 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,029 | 0,003 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».