Evidence of unexplained discrepancies between planned and conducted statistical analyses: a review of randomised trials.

P-hacking Randomised controlled trials Statistical analysis Statistical analysis plan Transparency

Journal

BMC medicine
ISSN: 1741-7015
Titre abrégé: BMC Med
Pays: England
ID NLM: 101190723

Informations de publication

Date de publication:
29 05 2020
Historique:
received: 28 01 2020
accepted: 09 04 2020
entrez: 30 5 2020
pubmed: 30 5 2020
medline: 15 12 2020
Statut: epublish

Résumé

Choosing or altering the planned statistical analysis approach after examination of trial data (often referred to as 'p-hacking') can bias the results of randomised trials. However, the extent of this issue in practice is currently unclear. We conducted a review of published randomised trials to evaluate how often a pre-specified analysis approach is publicly available, and how often the planned analysis is changed. A review of randomised trials published between January and April 2018 in six leading general medical journals. For each trial, we established whether a pre-specified analysis approach was publicly available in a protocol or statistical analysis plan and compared this to the trial publication. Overall, 89 of 101 eligible trials (88%) had a publicly available pre-specified analysis approach. Only 22/89 trials (25%) had no unexplained discrepancies between the pre-specified and conducted analysis. Fifty-four trials (61%) had one or more unexplained discrepancies, and in 13 trials (15%), it was impossible to ascertain whether any unexplained discrepancies occurred due to incomplete reporting of the statistical methods. Unexplained discrepancies were most common for the analysis model (n = 31, 35%) and analysis population (n = 28, 31%), followed by the use of covariates (n = 23, 26%) and the approach for handling missing data (n = 16, 18%). Many protocols or statistical analysis plans were dated after the trial had begun, so earlier discrepancies may have been missed. Unexplained discrepancies in the statistical methods of randomised trials are common. Increased transparency is required for proper evaluation of results.

Sections du résumé

BACKGROUND
Choosing or altering the planned statistical analysis approach after examination of trial data (often referred to as 'p-hacking') can bias the results of randomised trials. However, the extent of this issue in practice is currently unclear. We conducted a review of published randomised trials to evaluate how often a pre-specified analysis approach is publicly available, and how often the planned analysis is changed.
METHODS
A review of randomised trials published between January and April 2018 in six leading general medical journals. For each trial, we established whether a pre-specified analysis approach was publicly available in a protocol or statistical analysis plan and compared this to the trial publication.
RESULTS
Overall, 89 of 101 eligible trials (88%) had a publicly available pre-specified analysis approach. Only 22/89 trials (25%) had no unexplained discrepancies between the pre-specified and conducted analysis. Fifty-four trials (61%) had one or more unexplained discrepancies, and in 13 trials (15%), it was impossible to ascertain whether any unexplained discrepancies occurred due to incomplete reporting of the statistical methods. Unexplained discrepancies were most common for the analysis model (n = 31, 35%) and analysis population (n = 28, 31%), followed by the use of covariates (n = 23, 26%) and the approach for handling missing data (n = 16, 18%). Many protocols or statistical analysis plans were dated after the trial had begun, so earlier discrepancies may have been missed.
CONCLUSIONS
Unexplained discrepancies in the statistical methods of randomised trials are common. Increased transparency is required for proper evaluation of results.

Identifiants

pubmed: 32466758
doi: 10.1186/s12916-020-01590-1
pii: 10.1186/s12916-020-01590-1
pmc: PMC7257229
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

137

Subventions

Organisme : Medical Research Council
ID : MC_UU_12023/21
Pays : United Kingdom

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Auteurs

Suzie Cro (S)

Imperial Clinical Trials Unit, School of Public Health, Imperial College London, 1st Floor, Stadium House, London, W12 7RH, UK. s.cro@imperial.ac.uk.

Gordon Forbes (G)

Department of Biostatistics and Health Informatics, Kings College London, London, UK.

Nicholas A Johnson (NA)

Imperial Clinical Trials Unit, School of Public Health, Imperial College London, 1st Floor, Stadium House, London, W12 7RH, UK.

Brennan C Kahan (BC)

MRC Clinical Trials Unit at UCL, London, UK.

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