Evidence map›Paper›PMID 28727834›Full record

SynthesisPloS one2017

Systematic review: Outcome reporting bias is a problem in high impact factor neurology journals.

Benjamin Howard, Jared T Scott, Mark Blubaugh, Brie Roepke, Caleb Scheckel, Matt Vassar

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

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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.

Benjamin HowardCollege of Osteopathic Medicine, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, United States of America.ORCID http://orcid.org/0000-0002-8679-4643
Jared T ScottCollege of Osteopathic Medicine, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, United States of America.
Mark BlubaughEmergency Medicine, Oklahoma State University Medical Center, Tulsa, Oklahoma, United States of America.
Brie RoepkeEmergency Medicine, Oklahoma State University Medical Center, Tulsa, Oklahoma, United States of America.
Caleb ScheckelInternal Medicine, Mayo Clinic, Scottsdale, Arizona, United States of America.
Matt VassarDepartment of Institutional Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelective outcome reporting is a significant methodological concern. Comparisons between the outcomes reported in clinical trial registrations and those later published allow investigators to understand the extent of selection bias among trialists. We examined the possibility of selective outcome reporting in randomized controlled trials (RCTs) published in neurology journals.

methodsWe searched PubMed for randomized controlled trials from Jan 1, 2010 -Dec 31, 2015 published in the top 3 impact factor neurology journals. These articles were screened according to specific inclusion criteria. Each author individually extracted data from trials following a standardized protocol. A second author verified each extracted element and discrepancies were resolved. Consistency between registered and published outcomes was evaluated and correlations between discrepancies and funding, journal, and temporal trends were examined.

results180 trials were included for analysis. 10 (6%) primary outcomes were demoted, 38 (21%) primary outcomes were omitted from the publication, and 61 (34%) unregistered primary outcomes were added to the published report. There were 18 (10%) cases of secondary outcomes being upgraded to primary outcomes in the publication, and there were 53 (29%) changes in timing of assessment. Of 82 (46%) major discrepancies with reported p-values, 54 (66.0%) favored publication of statistically significant results.

conclusionAcross trials, we found 180 major discrepancies. 66% of major discrepancies with a reported p-value (n = 82) favored statistically significant results. These results suggest a need within neurology to provide more consistent and timely registration of outcomes.

Indexed as

NeurologyPublication BiasPublicationsPublishingHumansInformation DisseminationJournal Impact FactorResearch

Identifiers

PMID28727834
PMCPMC5519049

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.