Discrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.

OBJECTIVE: To evaluate how often sample size calculations and methods of statistical analysis are pre-specified or changed in randomised trials. DESIGN: Retrospective cohort study. Data source Protocols and journal publications of published randomised parallel group trials initially approved in 199...

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Main Authors: Chan, A, Hróbjartsson, A, Jørgensen, K, Gøtzsche, P, Altman, D
Format: Journal article
Language:English
Published: 2008
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author Chan, A
Hróbjartsson, A
Jørgensen, K
Gøtzsche, P
Altman, D
author_facet Chan, A
Hróbjartsson, A
Jørgensen, K
Gøtzsche, P
Altman, D
author_sort Chan, A
collection OXFORD
description OBJECTIVE: To evaluate how often sample size calculations and methods of statistical analysis are pre-specified or changed in randomised trials. DESIGN: Retrospective cohort study. Data source Protocols and journal publications of published randomised parallel group trials initially approved in 1994-5 by the scientific-ethics committees for Copenhagen and Frederiksberg, Denmark (n=70). MAIN OUTCOME MEASURE: Proportion of protocols and publications that did not provide key information about sample size calculations and statistical methods; proportion of trials with discrepancies between information presented in the protocol and the publication. RESULTS: Only 11/62 trials described existing sample size calculations fully and consistently in both the protocol and the publication. The method of handling protocol deviations was described in 37 protocols and 43 publications. The method of handling missing data was described in 16 protocols and 49 publications. 39/49 protocols and 42/43 publications reported the statistical test used to analyse primary outcome measures. Unacknowledged discrepancies between protocols and publications were found for sample size calculations (18/34 trials), methods of handling protocol deviations (19/43) and missing data (39/49), primary outcome analyses (25/42), subgroup analyses (25/25), and adjusted analyses (23/28). Interim analyses were described in 13 protocols but mentioned in only five corresponding publications. CONCLUSION: When reported in publications, sample size calculations and statistical methods were often explicitly discrepant with the protocol or not pre-specified. Such amendments were rarely acknowledged in the trial publication. The reliability of trial reports cannot be assessed without having access to the full protocols.
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spelling oxford-uuid:912bd8cf-8f5e-4566-ba30-4dca5733e5112022-03-26T23:16:58ZDiscrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:912bd8cf-8f5e-4566-ba30-4dca5733e511EnglishSymplectic Elements at Oxford2008Chan, AHróbjartsson, AJørgensen, KGøtzsche, PAltman, D OBJECTIVE: To evaluate how often sample size calculations and methods of statistical analysis are pre-specified or changed in randomised trials. DESIGN: Retrospective cohort study. Data source Protocols and journal publications of published randomised parallel group trials initially approved in 1994-5 by the scientific-ethics committees for Copenhagen and Frederiksberg, Denmark (n=70). MAIN OUTCOME MEASURE: Proportion of protocols and publications that did not provide key information about sample size calculations and statistical methods; proportion of trials with discrepancies between information presented in the protocol and the publication. RESULTS: Only 11/62 trials described existing sample size calculations fully and consistently in both the protocol and the publication. The method of handling protocol deviations was described in 37 protocols and 43 publications. The method of handling missing data was described in 16 protocols and 49 publications. 39/49 protocols and 42/43 publications reported the statistical test used to analyse primary outcome measures. Unacknowledged discrepancies between protocols and publications were found for sample size calculations (18/34 trials), methods of handling protocol deviations (19/43) and missing data (39/49), primary outcome analyses (25/42), subgroup analyses (25/25), and adjusted analyses (23/28). Interim analyses were described in 13 protocols but mentioned in only five corresponding publications. CONCLUSION: When reported in publications, sample size calculations and statistical methods were often explicitly discrepant with the protocol or not pre-specified. Such amendments were rarely acknowledged in the trial publication. The reliability of trial reports cannot be assessed without having access to the full protocols.
spellingShingle Chan, A
Hróbjartsson, A
Jørgensen, K
Gøtzsche, P
Altman, D
Discrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.
title Discrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.
title_full Discrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.
title_fullStr Discrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.
title_full_unstemmed Discrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.
title_short Discrepancies in sample size calculations and data analyses reported in randomised trials: comparison of publications with protocols.
title_sort discrepancies in sample size calculations and data analyses reported in randomised trials comparison of publications with protocols
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