RSS-Feed abonnieren
DOI: 10.1055/a-0767-7027
Umsetzungshilfe zu methodischen Kriterien des CONSORT-Statements zur transparenten Publikation von RCTs in der Augenheilkunde
An Illustrated Guidance for the Implementation of Methodological CONSORT Criteria in the Transparent Publication of RCTs in OphthalmologyPublikationsverlauf
eingereicht 30. Juli 2018
akzeptiert 08. Oktober 2018
Publikationsdatum:
19. Juni 2019 (online)
Zusammenfassung
Das CONSORT-Statement (Consolidated Standards of Reporting Trials) stellt eine evidenzbasierte Minimalempfehlung für die standardisierte Berichterstattung randomisierter Studien (RCT) dar. Entlang einer Checkliste aus 25 Kriterien zu redaktionellen, regulatorischen und methodischen Determinanten einer RCT ermöglicht die Anleitung deren strukturierte und standardisierte Berichtung; besonderes Augenmerk gilt dabei der Charakterisierung von Designs und Ergebnissen mit Blick auf deren Generalisierbarkeit. Ziel der Anleitung ist eine vollständige und transparente Berichterstattung, um für Leser eine kritische Bewertung und Interpretation der zugrunde liegenden Studiendaten sicherzustellen. In der Realität zeigt sich jedoch immer wieder, dass vor allem die Umsetzung der methodischen Kriterien dieser Checkliste für publizierende Arbeitsgruppen eine Herausforderung darstellt. Hierzu soll mit der folgenden Übersicht eine illustrierte Anleitung zu Mindestangaben zu methodischen Determinanten von Design und Ergebnisdarstellung sowie deren möglicher Ausführung gegeben werden.
Abstract
The CONSORT Statement (Consolidated Standards of Reporting Trials) recommends an evidence-based, minimum set of recommendations for the standardised and transparent reporting of randomised clinical trials. This statement includes a checklist of 25 items on regulatory and methodological, as well as characteristics of editorial clinical trial design and results. The recommendations help authors of RCT reports to ensure the complete and transparent reporting of design and result determinants with regard to the standards of evidence-based medicine; furthermore, it seeks to enable readers to critically assess and interpret the presented information and possible limitations of the underlying study data. However, it has repeatedly been shown that the implementation of, in particular, the adherence to methodological criteria is a challenge to RCT authors. Therefore, the following overview summarises an illustrated guidance to the minimum necessary information to take into account key methodological items in the CONSORT statement.
-
Literatur
- 1 Oxford Centre for Evidence-based Medicine. “Levels of Evidence” (March 2009). Im Internet: https://www.cebm.net/2009/06/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/ Stand: 12.09.2018
- 2 Baulig C, Krummenauer F, Knippschild S. [Evaluation of methodological quality in published RCTs on cataract surgery: Pilot study on the degree of adherence to CONSORT statement requirements and their qualitative validity]. Ophthalmologe 2018; 115: 40-46 doi:10.1007/s00347-017-0446-6
- 3 Begg C, Cho M, Eastwood S. et al. Improving the quality of reporting of randomized controlled trials. The CONSORT statement. JAMA 1996; 276: 637-639
- 4 Moher D, Schulz KF, Altman DG. et al. The CONSORT statement: revised recommendations for improving the quality of reports of parallel group randomized trials. BMC Med Res Methodol 2001; 1: 2
- 5 Moher D, Hopewell S, Schulz KF. et al. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ 2010; 340: c869 doi:10.1136/bmj.c869
- 6 Schulz KF, Altman DG, Moher D. et al. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ 2010; 340: c332 doi:10.1136/bmj.c332
- 7 CONSORT Group. “CONSORT 2010 Checklist and Flow Diagram”. Im Internet: http://www.consort-statement.org/ Stand: 12.09.2018
- 8 Yao AC, Khajuria A, Camm CF. et al. The reporting quality of parallel randomised controlled trials in ophthalmic surgery in 2011: a systematic review. Eye 2014; 28: 1341-1349 doi:10.1038/eye.2014.206
- 9 Lai TY, Wong VW, Lam RF. et al. Quality of reporting of key methodological items of randomized controlled trials in clinical ophthalmic journals. Ophthalmic Epidemiol 2007; 14: 390-398 doi:10.1080/09286580701344399
- 10 Lushchyk T, Amarakoon S, Martinez-Ciriano JP. et al. Bevacizumab in age-related macular degeneration: a randomized controlled trial on the effect of injections every 4 weeks, 6 weeks and 8 weeks. Acta Ophthalmol 2013; 91: e456-e461 doi:10.1111/aos.12119
- 11 Guymer RH, Baird PN, Varsamidis M. et al. Proof of concept, randomized, placebo-controlled study of the effect of simvastatin on the course of age-related macular degeneration. PLoS One 2013; 8: e83759 doi:10.1371/journal.pone.0083759
- 12 Investigators IS, Chakravarthy U, Harding SP. et al. Ranibizumab versus bevacizumab to treat neovascular age-related macular degeneration: one-year findings from the IVAN randomized trial. Ophthalmology 2012; 119: 1399-1411 doi:10.1016/j.ophtha.2012.04.015
- 13 Heier JS, Boyer DS, Ciulla TA. et al. Ranibizumab combined with verteporfin photodynamic therapy in neovascular age-related macular degeneration: year 1 results of the FOCUS Study. Arch Ophthal 2006; 124: 1532-1542 doi:10.1001/archopht.124.11.1532
- 14 Tufail A, Patel PJ, Egan C. et al. Bevacizumab for neovascular age related macular degeneration (ABC Trial): multicentre randomised double masked study. BMJ 2010; 340: c2459 doi:10.1136/bmj.c2459
- 15 Kaiser PK, Boyer DS, Cruess AF. et al. Verteporfin plus ranibizumab for choroidal neovascularization in age-related macular degeneration: twelve-month results of the DENALI study. Ophthalmology 2012; 119: 1001-1010 doi:10.1016/j.ophtha.2012.02.003
- 16 Chan AW, Krleza-Jeric K, Schmid I. et al. Outcome reporting bias in randomized trials funded by the Canadian Institutes of Health Research. CMAJ 2004; 171: 735-740 doi:10.1503/cmaj.1041086
- 17 Azab M, Boyer DS, Bressler NM. et al. Verteporfin therapy of subfoveal minimally classic choroidal neovascularization in age-related macular degeneration: 2-year results of a randomized clinical trial. Arch Ophthal 2005; 123: 448-457 doi:10.1001/archopht.123.4.448
- 18 Krummenauer F, Dick B, Schwenn O. et al. [Planning sample size in ophthalmologic studies]. Klin Monatsbl Augenheilkd 2000; 216: 2-9 doi:10.1055/s-2000-10509
- 19 Campbell MJ, Julious SA, Altman DG. Estimating sample sizes for binary, ordered categorical, and continuous outcomes in two group comparisons. BMJ 1995; 311: 1145-1148
- 20 Knippschild S, Baulig C, Hirsch J. et al. Das CONSORT-Statement zur standardisierten Berichterstattung Randomisierter Klinischer Prüfungen – Evidenz durch Transparenz. Z Zahnärztl Impl 2014; 31: 64-78
- 21 Baulig C, Knippschild S, Krummenauer F. Meta-Analysis of Drop out Rates in Cataract Surgery RCTs – an Update. Br J Med Med Res 2016; 17: 1-17 doi:10.9734/BJMMR/2016/28190
- 22 Knippschild S, Krummenauer F, Baulig C. Meta-analysis to estimate expectable droptout rates in randomized controlled clinical trials on age-related macular degeneration – supporting for optimized sample size calculation. Int J Adv Res 2016; 4: 1906-1922 doi:10.21474/IJAR01/2600
- 23 Ma L, Yan SF, Huang YM. et al. Effect of lutein and zeaxanthin on macular pigment and visual function in patients with early age-related macular degeneration. Ophthalmology 2012; 119: 2290-2297 doi:10.1016/j.ophtha.2012.06.014
- 24 Schaub F, Hoerster R, Schiller P. et al. Prophylactic intravitreal 5-fluorouracil and heparin to prevent proliferative vitreoretinopathy in high-risk patients with retinal detachment: study protocol for a randomized controlled trial. Trials 2018; 19: 384 doi:10.1186/s13063-018-2761-x
- 25 Krummenauer F, Baulig C, Hirsch J. Randomisation in Klinischen Studien – durch Zufall zum Erfolg …. Z Zahnärztl Impl 2014; 30: 7
- 26 Busbee BG, Ho AC, Brown DM. et al. Twelve-month efficacy and safety of 0.5 mg or 2.0 mg ranibizumab in patients with subfoveal neovascular age-related macular degeneration. Ophthalmology 2013; 120: 1046-1056 doi:10.1016/j.ophtha.2012.10.014
- 27 CATT Research Group. Martin DF, Maguire MG. et al. Ranibizumab and bevacizumab for neovascular age-related macular degeneration. N Engl J Med 2011; 364: 1897-1908 doi:10.1056/NEJMoa1102673
- 28 Marcus DM, Peskin E, Maguire M. et al. The age-related macular degeneration radiotherapy trial (AMDRT): one year results from a pilot study. Am J Ophthalmol 2004; 138: 818-828 doi:10.1016/j.ajo.2004.06.081
- 29 Lee J, Freeman WR, Azen SP. et al. Prospective, randomized clinical trial of intravitreal triamcinolone treatment of neovascular age-related macular degeneration: one-year results. Retina 2007; 27: 1205-1213 doi:10.1097/IAE.0b013e31815ec367
- 30 Friberg TR, Musch DC, Lim JI. et al. Prophylactic treatment of age-related macular degeneration report number 1: 810-nanometer laser to eyes with drusen. Unilaterally eligible patients. Ophthalmology 2006; 113: 622.e1 doi:10.1016/j.ophtha.2005.10.066
- 31 Feher J, Kovacs B, Kovacs I. et al. Improvement of visual functions and fundus alterations in early age-related macular degeneration treated with a combination of acetyl-L-carnitine, n-3 fatty acids, and coenzyme Q10. Ophthalmologica 2005; 219: 154-166 doi:10.1159/000085248
- 32 Souied EH, Delcourt C, Querques G. et al. Oral docosahexaenoic acid in the prevention of exudative age-related macular degeneration: the Nutritional AMD Treatment 2 study. Ophthalmology 2013; 120: 1619-1631 doi:10.1016/j.ophtha.2013.01.005
- 33 Chan AW, Hrobjartsson A, Haahr MT. et al. Empirical evidence for selective reporting of outcomes in randomized trials: comparison of protocols to published articles. JAMA 2004; 291: 2457-2465 doi:10.1001/jama.291.20.2457
- 34 Dwan K, Altman DG, Arnaiz JA. et al. Systematic review of the empirical evidence of study publication bias and outcome reporting bias. PLoS One 2008; 3: e3081 doi:10.1371/journal.pone.0003081
- 35 Cohen SY, Bourgeois H, Corbe C. et al. Randomized clinical trial France DMLA2: effect of trimetazidine on exudative and nonexudative age-related macular degeneration. Retina 2012; 32: 834-843 doi:10.1097/IAE.0b013e31822058a3
- 36 Krummenauer F. [III: “Relative Risk” and “NNT” – Descriptive Measures for Binary Data]. Klin Monatsbl Augenheilkd 2002; 219: 749-751 doi:10.1055/s-2002-35691
- 37 Christen WG, Glynn RJ, Chew EY. et al. Vitamin E and age-related macular degeneration in a randomized trial of women. Ophthalmology 2010; 117: 1163-1168 doi:10.1016/j.ophtha.2009.10.043
- 38 Tukey JW. Some thoughts on clinical trials, especially problems of multiplicity. Science 1977; 198: 679-684
- 39 Boyer DS, Heier JS, Brown DM. et al. A phase III b study to evaluate the safety of ranibizumab in subjects with neovascular age-related macular degeneration. Ophthalmology 2009; 116: 1731-1739 doi:10.1016/j.ophtha.2009.05.024