Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelines

Abstract Background N-of-1 trials are multiple cross-over trials done in individual participants, generating individual treatment effect information. While reporting guidelines for the CONSORT Extension for N-of-1 trials (CENT) and the Standard Protocol Items: Recommendations for Interventional Tria...

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Main Authors: Antony J. Porcino, Salima Punja, An-Wen Chan, Richard Kravitz, Aaron Orkin, Philippe Ravaud, Christopher H. Schmid, Sunita Vohra
Format: Article
Language:English
Published: BMC 2017-07-01
Series:Systematic Reviews
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13643-017-0525-4
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author Antony J. Porcino
Salima Punja
An-Wen Chan
Richard Kravitz
Aaron Orkin
Philippe Ravaud
Christopher H. Schmid
Sunita Vohra
author_facet Antony J. Porcino
Salima Punja
An-Wen Chan
Richard Kravitz
Aaron Orkin
Philippe Ravaud
Christopher H. Schmid
Sunita Vohra
author_sort Antony J. Porcino
collection DOAJ
description Abstract Background N-of-1 trials are multiple cross-over trials done in individual participants, generating individual treatment effect information. While reporting guidelines for the CONSORT Extension for N-of-1 trials (CENT) and the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) already exist, there is no standardized recommendation for the reporting of N-of-1 trial protocols. Objective The objective of this study is to evaluate current literature on N-of-1 design and reporting to identify key elements of rigorous N-of-1 protocol design. Methods We will conduct a systematic search for all N-of-1 trial guidelines and protocol-reporting guidelines published in peer-reviewed literature. We will search Medline, Embase, PsycINFO, CINAHL, the Cochrane Methodology Register, CENTRAL, and the NHS Economic Evaluation Database. Eligible articles will contain explicit guidance on N-of-1 protocol construction or reporting. Two reviewers will independently screen all titles and abstracts and then undertake full-text reviews of potential articles to determine eligibility. One reviewer will perform data extraction of selected articles, checked by the second reviewer. Data analysis will ascertain common features of N-of-1 trial protocols and compare them to the SPIRIT and CENT items. Discussion This systematic review assesses recommendations on the design and reporting of N-of-1 trial protocols. These findings will inform an international Delphi development process for an N-of-1 trial protocol reporting guideline. The development of this guideline is critical for improving the quality of N-of-1 protocols, leading to improvements in the quality of published N-of-1 trial research.
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spelling doaj.art-796db30d5665411a8d239fc391759a452022-12-22T02:43:20ZengBMCSystematic Reviews2046-40532017-07-01611510.1186/s13643-017-0525-4Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelinesAntony J. Porcino0Salima Punja1An-Wen Chan2Richard Kravitz3Aaron Orkin4Philippe Ravaud5Christopher H. Schmid6Sunita Vohra7CARE Program, Department of Pediatrics, Faculty of Medicine and Dentistry, and Integrative Health Institute, University of AlbertaCARE Program, Department of Pediatrics, Faculty of Medicine and Dentistry, and Integrative Health Institute, University of AlbertaWomen’s College Research Institute, Women’s College Hospital, Department of Medicine, University of TorontoUC Davis Department of Internal MedicineDalla Lana School of Public Health, University of TorontoEQUATOR France, Centre d’épidémiologie clinique, Hôpital Hôtel-DieuCenter for Evidence Based Medicine, School of Public Health, Brown UniversityCARE Program, Department of Pediatrics, Faculty of Medicine and Dentistry, and Integrative Health Institute, University of AlbertaAbstract Background N-of-1 trials are multiple cross-over trials done in individual participants, generating individual treatment effect information. While reporting guidelines for the CONSORT Extension for N-of-1 trials (CENT) and the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) already exist, there is no standardized recommendation for the reporting of N-of-1 trial protocols. Objective The objective of this study is to evaluate current literature on N-of-1 design and reporting to identify key elements of rigorous N-of-1 protocol design. Methods We will conduct a systematic search for all N-of-1 trial guidelines and protocol-reporting guidelines published in peer-reviewed literature. We will search Medline, Embase, PsycINFO, CINAHL, the Cochrane Methodology Register, CENTRAL, and the NHS Economic Evaluation Database. Eligible articles will contain explicit guidance on N-of-1 protocol construction or reporting. Two reviewers will independently screen all titles and abstracts and then undertake full-text reviews of potential articles to determine eligibility. One reviewer will perform data extraction of selected articles, checked by the second reviewer. Data analysis will ascertain common features of N-of-1 trial protocols and compare them to the SPIRIT and CENT items. Discussion This systematic review assesses recommendations on the design and reporting of N-of-1 trial protocols. These findings will inform an international Delphi development process for an N-of-1 trial protocol reporting guideline. The development of this guideline is critical for improving the quality of N-of-1 protocols, leading to improvements in the quality of published N-of-1 trial research.http://link.springer.com/article/10.1186/s13643-017-0525-4Systematic reviewN-of-1 trialsClinical protocolsGuidelinesSingle case experimental designs
spellingShingle Antony J. Porcino
Salima Punja
An-Wen Chan
Richard Kravitz
Aaron Orkin
Philippe Ravaud
Christopher H. Schmid
Sunita Vohra
Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelines
Systematic Reviews
Systematic review
N-of-1 trials
Clinical protocols
Guidelines
Single case experimental designs
title Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelines
title_full Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelines
title_fullStr Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelines
title_full_unstemmed Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelines
title_short Protocol for a systematic review of N-of-1 trial protocol guidelines and protocol reporting guidelines
title_sort protocol for a systematic review of n of 1 trial protocol guidelines and protocol reporting guidelines
topic Systematic review
N-of-1 trials
Clinical protocols
Guidelines
Single case experimental designs
url http://link.springer.com/article/10.1186/s13643-017-0525-4
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