Reporting quality of pilot clinical trials in chronic kidney disease patients on hemodialysis: a methodological survey.

CONSORT Feasibility trials Guideline adherence Hemodialysis Pilot trials Reporting quality Transparency

Journal

Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536

Informations de publication

Date de publication:
2019
Historique:
received: 29 11 2018
accepted: 22 03 2019
entrez: 19 4 2019
pubmed: 19 4 2019
medline: 19 4 2019
Statut: epublish

Résumé

The conduct of high-quality pilot studies can help inform the success of larger clinical trials. Guidelines have been recently developed for the reporting of pilot trials. This methodological survey evaluates the completeness of reporting in pilot randomized controlled trials in chronic kidney disease patients on hemodialysis (HD patients) and explores factors associated with better completion of reporting. The authors searched Pubmed on July 1, 2018, for all pilot trials conducted in HD patients. Reporting quality was assessed against the 40-item Consolidated Standards of Reporting Trials (CONSORT) Extension for Pilot Trials. Study factors including year and country of publication, intervention, number of centers, type of funding, and journal endorsement of CONSORT were also examined. The mean number of items reported from the CONSORT extension for pilot trials across all included articles was 18.4 (standard deviation [SD] = 4.4). In the adjusted analysis, studies reported in later years (IRR = 1.026, 95% CI [1.018, 1.034], Current reporting completeness of pilot trials in HD patients is suboptimal. Endorsing the CONSORT extension specific to pilot and feasibility studies and ensuring that pilot trials focus on the feasibility objectives may improve reporting completeness of these trials.

Sections du résumé

BACKGROUND BACKGROUND
The conduct of high-quality pilot studies can help inform the success of larger clinical trials. Guidelines have been recently developed for the reporting of pilot trials.
OBJECTIVE OBJECTIVE
This methodological survey evaluates the completeness of reporting in pilot randomized controlled trials in chronic kidney disease patients on hemodialysis (HD patients) and explores factors associated with better completion of reporting.
METHODS METHODS
The authors searched Pubmed on July 1, 2018, for all pilot trials conducted in HD patients. Reporting quality was assessed against the 40-item Consolidated Standards of Reporting Trials (CONSORT) Extension for Pilot Trials. Study factors including year and country of publication, intervention, number of centers, type of funding, and journal endorsement of CONSORT were also examined.
RESULTS RESULTS
The mean number of items reported from the CONSORT extension for pilot trials across all included articles was 18.4 (standard deviation [SD] = 4.4). In the adjusted analysis, studies reported in later years (IRR = 1.026, 95% CI [1.018, 1.034],
CONCLUSIONS CONCLUSIONS
Current reporting completeness of pilot trials in HD patients is suboptimal. Endorsing the CONSORT extension specific to pilot and feasibility studies and ensuring that pilot trials focus on the feasibility objectives may improve reporting completeness of these trials.

Identifiants

pubmed: 30997141
doi: 10.1186/s40814-019-0436-3
pii: 436
pmc: PMC6451784
doi:

Types de publication

Journal Article

Langues

eng

Pagination

53

Déclaration de conflit d'intérêts

As this a methodological review and does not involve human subjects, ethics board approval was not sought for this study.As this a methodological review and does not involve human subjects, consent for publication was not sought for this study.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Références

Contemp Clin Trials. 2018 Feb;65:144-150
pubmed: 29287666
Kidney Int. 2017 Aug;92(2):297-305
pubmed: 28709600
BMC Med Res Methodol. 2010 Jan 06;10:1
pubmed: 20053272
J Clin Endocrinol Metab. 2008 Oct;93(10):3810-6
pubmed: 18583463
BMC Health Serv Res. 2016 Dec 28;16(1):690
pubmed: 28031020
Contemp Clin Trials. 2014 May;38(1):130-3
pubmed: 24735841
Lancet. 2017 Mar 25;389(10075):1238-1252
pubmed: 27887750
BMC Med Res Methodol. 2010 Feb 05;10:11
pubmed: 20137069
Lancet. 2013 Jul 20;382(9888):260-72
pubmed: 23727169
Syst Rev. 2013 Dec 13;2:113
pubmed: 24330779
Contemp Clin Trials. 2014 Jul;38(2):245-50
pubmed: 24861557
Nephrourol Mon. 2015 Jul 01;7(4):e28752
pubmed: 26528446
BMC Med Res Methodol. 2010 Jul 16;10:67
pubmed: 20637084
BMJ. 2016 Oct 24;355:i5239
pubmed: 27777223
J Am Soc Nephrol. 2004 Feb;15(2):411-9
pubmed: 14747388
Eur Stroke J. 2018 Dec;3(4):337-346
pubmed: 31236481
Am J Kidney Dis. 2011 Sep;58(3):335-7
pubmed: 21856491
PLoS One. 2016 Jul 06;11(7):e0158765
pubmed: 27383068
J Am Soc Nephrol. 2019 Jan;30(1):13-22
pubmed: 30545982
Clin J Am Soc Nephrol. 2010 Dec;5(12):2348-54
pubmed: 21030576
Am J Kidney Dis. 2017 Oct;70(4):464-475
pubmed: 28238554
Kidney Int. 2011 Dec;80(12):1258-70
pubmed: 21993585

Auteurs

Sarah Daisy Kosa (SD)

Kidney CARE Network International, Toronto, Ontario Canada.
2Division of Nephrology, Toronto General Hospital, University Health Network, 200 Elizabeth Street 8N844, Toronto, Ontario M5G 2C4 Canada.
3Department of Health Research, Evidence, and Impact, McMaster University, Hamilton, Ontario Canada.

Jillian Monize (J)

Kidney CARE Network International, Toronto, Ontario Canada.

Alvin Leenus (A)

4Faculty of Health Sciences, McMaster University, Hamilton, Ontario Canada.

Selvin Leenus (S)

4Faculty of Health Sciences, McMaster University, Hamilton, Ontario Canada.

Simranjit Samra (S)

Kidney CARE Network International, Toronto, Ontario Canada.

Sylwia Szwiega (S)

Kidney CARE Network International, Toronto, Ontario Canada.

Daniel Shi (D)

5Faculty of Health Sciences, Queen's University, Kingston, Ontario Canada.

Sara Valvasori (S)

4Faculty of Health Sciences, McMaster University, Hamilton, Ontario Canada.

Amiram Gafni (A)

3Department of Health Research, Evidence, and Impact, McMaster University, Hamilton, Ontario Canada.

Charmaine E Lok (CE)

Kidney CARE Network International, Toronto, Ontario Canada.
2Division of Nephrology, Toronto General Hospital, University Health Network, 200 Elizabeth Street 8N844, Toronto, Ontario M5G 2C4 Canada.
3Department of Health Research, Evidence, and Impact, McMaster University, Hamilton, Ontario Canada.

Lehana Thabane (L)

3Department of Health Research, Evidence, and Impact, McMaster University, Hamilton, Ontario Canada.
Biostatistics Unit, St Joseph's Healthcare, Hamilton, Ontario Canada.

Classifications MeSH