Number and size of randomized trials reported in general health care journals from 1948 to 1997.

BACKGROUND: Randomized trials are important for controlling selection biases, and where sufficient numbers of participants are involved, have the potential to yield reliable estimates of treatment effects. METHODS: We investigated trends in the number and size of randomized trials reported in gener...

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Main Authors: McDonald, S, Westby, M, Clarke, M, Lefebvre, C
Format: Journal article
Language:English
Published: 2002
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author McDonald, S
Westby, M
Clarke, M
Lefebvre, C
author_facet McDonald, S
Westby, M
Clarke, M
Lefebvre, C
author_sort McDonald, S
collection OXFORD
description BACKGROUND: Randomized trials are important for controlling selection biases, and where sufficient numbers of participants are involved, have the potential to yield reliable estimates of treatment effects. METHODS: We investigated trends in the number and size of randomized trials reported in general health care journals from 1948 to 1997. From the handsearching of 18 general health care journals we collected data on the number of reports of randomized trials in each journal per year, and the number of participants in each trial. RESULTS: A total of 5503 reports of trials were identified in 18 general health care journals. More than a third appeared in the British Medical Journal. The peak period for trial reports was the mid 1980s, with more in 1986 than any other year (242). By the mid 1990s the number per year had declined by a third. Trials with fewer than 100 participants accounted for most of the reports (69%). In spite of the overall decline in the number of trial reports, those involving 100 participants or more continued to increase throughout the period studied. CONCLUSIONS: The continued increase in the number of larger trials reported is encouraging, especially if it represents an increase in the size of trials more generally. Further research is needed to determine whether the trends over time identified here are reflective more of trends in the actual conduct of, rather than simply the reporting, of randomized trials.
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spelling oxford-uuid:e3d14024-31da-4a2b-a682-bb35441de29a2022-03-27T10:12:00ZNumber and size of randomized trials reported in general health care journals from 1948 to 1997.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e3d14024-31da-4a2b-a682-bb35441de29aEnglishSymplectic Elements at Oxford2002McDonald, SWestby, MClarke, MLefebvre, C BACKGROUND: Randomized trials are important for controlling selection biases, and where sufficient numbers of participants are involved, have the potential to yield reliable estimates of treatment effects. METHODS: We investigated trends in the number and size of randomized trials reported in general health care journals from 1948 to 1997. From the handsearching of 18 general health care journals we collected data on the number of reports of randomized trials in each journal per year, and the number of participants in each trial. RESULTS: A total of 5503 reports of trials were identified in 18 general health care journals. More than a third appeared in the British Medical Journal. The peak period for trial reports was the mid 1980s, with more in 1986 than any other year (242). By the mid 1990s the number per year had declined by a third. Trials with fewer than 100 participants accounted for most of the reports (69%). In spite of the overall decline in the number of trial reports, those involving 100 participants or more continued to increase throughout the period studied. CONCLUSIONS: The continued increase in the number of larger trials reported is encouraging, especially if it represents an increase in the size of trials more generally. Further research is needed to determine whether the trends over time identified here are reflective more of trends in the actual conduct of, rather than simply the reporting, of randomized trials.
spellingShingle McDonald, S
Westby, M
Clarke, M
Lefebvre, C
Number and size of randomized trials reported in general health care journals from 1948 to 1997.
title Number and size of randomized trials reported in general health care journals from 1948 to 1997.
title_full Number and size of randomized trials reported in general health care journals from 1948 to 1997.
title_fullStr Number and size of randomized trials reported in general health care journals from 1948 to 1997.
title_full_unstemmed Number and size of randomized trials reported in general health care journals from 1948 to 1997.
title_short Number and size of randomized trials reported in general health care journals from 1948 to 1997.
title_sort number and size of randomized trials reported in general health care journals from 1948 to 1997
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