SynthesisJournal of the American Medical Informatics Association : JAMIA
Standards for reporting randomized controlled trials in medical informatics: a systematic review of CONSORT adherence in RCTs on clinical decision support.
Synthesis in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review.Frontiers in global women's health · 2022Pooled it
- Effects of laser therapy on patients who underwent rapid maxillary expansion; a systematic review.Lasers in medical science · 2018Pooled it
- Is arthrocentesis of temporomandibular joint with corticosteroids beneficial? A systematic review.Medicina oral, patologia oral y cirugia bucal · 2018Pooled it
- Non-pharmacological interventions to promote the sleep of patients after cardiac surgery: a systematic review.Revista latino-americana de enfermagem · 2017Pooled it
- Tailored Communication Within Mobile Apps for Diabetes Self-Management: A Systematic Review.Journal of medical Internet research · 2017Pooled it
- The quality of reports of randomized clinical trials on traditional Chinese medicine treatments: a systematic review of articles indexed in the China National Knowledge Infrastructure database from 2005 to 2012.BMC complementary and alternative medicine · 2014Pooled it
- A systematic review of the implementation and impact of asthma protocols.BMC medical informatics and decision making · 2014Pooled it
- Electronic symptom reporting between patient and provider for improved health care service quality: a systematic review of randomized controlled trials. part 2: methodological quality and effects.Journal of medical Internet research · 2012Pooled it
- Should we embed randomized controlled trials within action research: arguing from a case study of telemonitoring.BMC medical research methodology · 2016Trial
- Low-Compared with High-Dose Regimen of Induction Chemotherapy in Locally Advanced Nasopharyngeal Cancer: A Systematic Review and Meta-analysis.South Asian journal of cancer · 2025Review
- Article
- Prostate Artery Embolization (PAE) with Small Beads for the Treatment of Benign Prostatic Hyperplasia (BPH).Journal of personalized medicine · 2024Article
- Review
- Applying Clinical Decision Support Design Best Practices With the Practical Robust Implementation and Sustainability Model Versus Reliance on Commercially Available Clinical Decision Support Tools: Randomized Controlled Trial.JMIR medical informatics · 2021Article
- SERIES: eHealth in primary care. Part 3: eHealth education in primary care.The European journal of general practice · 2020Article
- Diagnostic Efficacy and Therapeutic Decision-making Capacity of an Artificial Intelligence Platform for Childhood Cataracts in Eye Clinics: A Multicentre Randomized Controlled Trial.EClinicalMedicine · 2019Article
- Does the medical literature remain inadequately described despite having reporting guidelines for 21 years? - A systematic review of reviews: an update.Journal of multidisciplinary healthcare · 2018Review
- Text Messaging and Mobile Phone Apps as Interventions to Improve Adherence in Adolescents With Chronic Health Conditions: A Systematic Review.JMIR mHealth and uHealth · 2017Article
- Embedding data provenance into the Learning Health System to facilitate reproducible research.Learning health systems · 2017Article
- Meta-epidemiology.Epidemiology and health · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Consolidated Standards for Reporting Trials (CONSORT) were published to standardize reporting and improve the quality of clinical trials. The objective of this study is to assess CONSORT adherence in randomized clinical trials (RCT) of disease specific clinical decision support (CDS).
methodsA systematic search was conducted of the Medline, EMBASE, and Cochrane databases. RCTs on CDS were assessed against CONSORT guidelines and the Jadad score.
result32 of 3784 papers identified in the primary search were included in the final review. 181 702 patients and 7315 physicians participated in the selected trials. Most trials were performed in primary care (22), including 897 general practitioner offices. RCTs assessing CDS for asthma (4), diabetes (4), and hyperlipidemia (3) were the most common. Thirteen CDS systems (40%) were implemented in electronic medical records, and 14 (43%) provided automatic alerts. CONSORT and Jadad scores were generally low; the mean CONSORT score was 30.75 (95% CI 27.0 to 34.5), median score 32, range 21-38. Fourteen trials (43%) did not clearly define the study objective, and 11 studies (34%) did not include a sample size calculation. Outcome measures were adequately identified and defined in 23 (71%) trials; adverse events or side effects were not reported in 20 trials (62%). Thirteen trials (40%) were of superior quality according to the Jadad score (≥3 points). Six trials (18%) reported on long-term implementation of CDS.
conclusionThe overall quality of reporting RCTs was low. There is a need to develop standards for reporting RCTs in medical informatics.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.