田金徽,马继春,谢 吻.中文发表乳腺癌随机对照试验伦理学质量评价[J].中国肿瘤,2016,25(2):155-160.
中文发表乳腺癌随机对照试验伦理学质量评价
Assessment of Ethical Quality of Randomized Controlled Clinical Trials in Breast Cancer Published in China
投稿时间:2015-06-17  
DOI:10.11735/j.issn.1004-0242.2016.02.A015
中文关键词:  随机对照试验  伦理学质量  乳腺癌  Berdeu量表
英文关键词:randomized controlled trials  ethical quality  breast cancer  Berdeu scale
基金项目:甘肃省技术研究与开发专项计划(1004TCYA006),
作者单位
田金徽 甘肃省医学科学研究院肿瘤医院 
马继春 甘肃中医药大学 
谢 吻 兰州大学第一临床医学院 
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中文摘要:
      摘 要:[目的] 评价乳腺癌随机对照试验伦理学质量,分析其影响因素。[方法] 计算机检索CBM、万方数据库、CNKI、维普数据库,查找乳腺癌随机对照试验,采用Berdeu量表评价伦理学质量。[结果] 最终纳入965个乳腺癌RCT,作者数量平均为3.31±2.10,发表的杂志等级为CSCD期刊论文的占33.16%,合作机构数量平均为2.43±1.24;有方法学人员参与的仅占0.41%。伦理学质量评价显示:Berdeu量表平均得分为1.11±0.87,条目2、5、6、8、10能够充分报告的研究不足1%。文献发表期刊等级(MD=0.12,95%CI:0.02~0.22,P=0.02)和有方法学人员参与(MD=0.74,95%CI:0.13~1.35,P=0.02)可能会提高文献伦理学质量评分(P<0.05)。[结论] 乳腺癌随机对照试验伦理学质量报告还需进一步提高。
英文摘要:
      Abstract:[Purpose] To evaluate the ethical quality of randomized controlled clinical trials (RCTs) in breast cancer published in China,and to analyze its influencing factors. [Methods] All RCTs of breast cancer indexed in CNKI,CBM and Wanfang database were retrieved. The ethical quality of RCTs was evaluated by using the Berdeu 10-item scale. [Results] All of 965 RCTs were included,33.16% of included RCTs were indexed in CSCD,the mean number of authors were 3.31±2.10,the average number of affiliations were 2.43±1.24,0.41% of RCTs were performed by methodologist. The results of ethical quality showed that the mean score of Berdeu scale was 1.11±0.87. Almost 1% of included RCTs completed reported item 2,5,6,8,10. The results of stratified analysis showed that,both statistician/ epidemiologist/evidence-based medicine involvement(MD=0.74,95%CI:0.13~1.35,P=0.02),the type of publication(MD=0.12,95%CI:0.02~0.22,P=0.02) could improve the ethical quality,with a significant difference(P<0.05). [Conclusion] The overall ethical quality of randomized controlled clinical trials in breast cancer published in China must be improved in the future.
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