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Record W4414008064 · doi:10.1101/2025.09.03.25334905

INSPECT-SR: a tool for assessing trustworthiness of randomised controlled trials

2025· preprint· en· W4414008064 on OpenAlexaff
Jack Wilkinson, Calvin Heal, Ella Flemyng, Γεώργιος Αντωνίου, Tony Aburrow, Žarko Alfirević, Alison Avenell, Virginia Barbour, Vincenzo Berghella, Dorothy Bishop, Esmée M Bordewijk, Nicholas J. L. Brown, Jana Christopher, Mike Clarke, Darren Dahly, Jane A Dennis, Patrick Dicker, Jo Dumville, Helen Frankish, Steph Grohmann, Toby J Lasserson, Tianjing Li, Wentao Li, Jianping Liu, Gideon Meyerowitz‐Katz, Ben W. Mol, Barbara K. Redman, Rachel Richardson, Madelon van Wely, Rui Wang, Lisa Bero, Jamie J Kirkham

Bibliographic record

VenuemedRxiv · 2025
Typepreprint
Languageen
FieldDecision Sciences
TopicMeta-analysis and systematic reviews
Canadian institutionsNova Scotia Health AuthorityDalhousie University
FundersNational Institute for Health and Care ResearchQueensland University of TechnologyNeuroscience Research Australia
KeywordsTrustworthinessPsychologyComputer scienceSocial psychology

Abstract

fetched live from OpenAlex

The integrity of evidence synthesis is threatened by problematic randomised controlled trials (RCTs). These are RCTs where there are serious concerns about the trustworthiness of the data or findings. This could be due to research misconduct, including fraud, or due to honest critical errors. If these RCTs are not detected, they may be inadvertently included in systematic reviews and guidelines, potentially distorting their results. To address this problem, the INSPECT-SR (INveStigating ProblEmatic Clinical Trials in Systematic Reviews) tool has been developed to assess the trustworthiness of RCTs. This will allow problematic RCTs to be identified and excluded from systematic reviews. This paper describes the development of INSPECT-SR. The tool and an associated guidance document are presented.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.550
metaresearch head score (Gemma)0.622
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Meta-epidemiology (broad), Scholarly communication, Insufficient payload (model declined to judge)
Consensus categoriesMetaresearch, Meta-epidemiology (broad)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.498
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.5500.622
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0370.019
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0020.000
Open science0.0030.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.679
GPT teacher head0.556
Teacher spread0.123 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations8
Published2025
Admission routes1
Has abstractyes

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