Searching ClinicalTrials.gov did not change the conclusions of a systematic review

Copyright © 2017 Elsevier Inc. All rights reserved..

OBJECTIVES: We assessed the effect of searching ClinicalTrials.gov on the conclusions of a systematic review.

STUDY DESIGN AND SETTING: We conducted this case study concurrently with a systematic review. We searched ClinicalTrials.gov on March 9, 2016, to identify trial records eligible for inclusion in the review. Two independent reviewers screened ClinicalTrials.gov records. We compared conclusions and strength of evidence grade with and without ClinicalTrials.gov records for 31 comparisons and 2 outcomes.

RESULTS: We identified 106 trials (53 in the peer-reviewed literature only, 23 in ClinicalTrials.gov only, and 30 in both sources). For one comparison, the addition of results identified through ClinicalTrials.gov reduced the pooled effect size. We found evidence of selective outcome reporting for two comparisons and suspected publication bias for another two comparisons. For all other comparisons, searching ClinicalTrials.gov did not change conclusions or the strength of evidence grading for the two outcomes.

CONCLUSION: Our search of ClinicalTrials.gov bolstered suspicions of reporting biases but did not change either the conclusions or the strength of evidence grading. Further research is needed to determine the effect of searching ClinicalTrials.gov on the conclusions of systematic reviews in different topic areas and as the new rules for registration of trial results take effect.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:90

Enthalten in:

Journal of clinical epidemiology - 90(2017) vom: 26. Okt., Seite 127-135

Sprache:

Englisch

Beteiligte Personen:

Wilson, Lisa M [VerfasserIn]
Sharma, Ritu [VerfasserIn]
Dy, Sydney M [VerfasserIn]
Waldfogel, Julie M [VerfasserIn]
Robinson, Karen A [VerfasserIn]

Links:

Volltext

Themen:

Case study
ClinicalTrials.gov
Diabetic peripheral neuropathy
Gray literature
Journal Article
Strength of evidence grading
Systematic review

Anmerkungen:

Date Completed 14.11.2017

Date Revised 29.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jclinepi.2017.07.009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM274316110