Evidence map›Paper›PMID 25879729›Full record

ArticleBMC pediatrics2015

Levels of evidence: a comparison between top medical journals and general pediatric journals.

Dustin A Jacobson, Kunal Bhanot, Blake Yarascavitch, Jennifer Chuback, Ehud Rosenbloom, Mohit Bhandari

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dustin A JacobsonMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. jacobson.dustin@gmail.com.
Kunal BhanotMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. kunal.bhanot@medportal.ca.
Blake YarascavitchDepartment of Neurosurgery, McMaster University, Hamilton, ON, Canada. blake@yarascavitch.com.
Jennifer ChubackDepartment of Plastic Surgery, McMaster University, Hamilton, ON, Canada. jennifer@chuback.ca.
Ehud RosenbloomDepatment of Pediatrics, McMaster University, Hamilton, ON, Canada. erosenb@mcmaster.ca.
Mohit BhandariDepartments of Epidemiology and Biostatistics and Orthopedic Surgery, McMaster University, Hamilton, ON, Canada. bhandam@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the large number of publications in all fields of practice, it is essential that clinicians focus on the resources that provide the highest level of evidence (LOE). We sought to determine the LOE that exists in the field of pediatrics, present in the general pediatric as well as high impact clinical literature.

methodsClinical pediatric literature, published between April 2011 and March 2012 inclusive in high-impact clinical journals (HICJ) (New England Journal of Medicine, Journal of the American Medical Association, & The Lancet) and the highest-impact general pediatric journals (GPJ) (Pediatrics, Journal of Pediatrics, & Archives of Pediatrics & Adolescent Medicine), was assessed. In addition to the LOE, articles were evaluated on criteria including subspecialty within pediatrics, number of authors, number of centers, and other parameters. Eligible level I randomized control trials were appraised using the Consolidated Standards of Reporting Trials (CONSORT) guidelines.

resultsOf 6511 articles screened, 804 met inclusion criteria (68 in HICJ and 736 in GPJ). On average, LOE in pediatrics-focused articles within The Lancet were significantly higher than all GPJ (p < 0.05). Average CONSORT scores were significantly higher in HICJ vs. GPJ (15.2 vs. 13.6, respectively, p < 0.001).

conclusionsLOE and quality of randomized control trials within the pediatric field is highest within HICJ, however, only represent a small proportion of data published. Following CONSORT criteria, and promoting studies of high LOE may allow authors and readers to turn to journals and articles of greater clinical impact.

Indexed as

Evidence-Based MedicineJournal Impact FactorPediatricsPeriodicals as TopicRandomized Controlled Trials as TopicUnited States

Identifiers

PMID25879729
PMCPMC4336754

What OpenQuestion holds

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Registered trials

None linked

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.