Evidence map›Paper›PMID 28902885›Full record

ArticlePloS one2017

Overstatements in abstract conclusions claiming effectiveness of interventions in psychiatry: A meta-epidemiological investigation.

Kiyomi Shinohara, Aya M Suganuma, Hissei Imai, Nozomi Takeshima, Yu Hayasaka, Toshi A Furukawa

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Increasing Use of Promotional Language in Orthopaedic Surgery Abstracts-An Analysis of 112,916 Abstracts 1985 to 2020.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. 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.

Kiyomi ShinoharaDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Konoe-cho, Sakyo-ku, Kyoto, Japan.
Aya M SuganumaDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Konoe-cho, Sakyo-ku, Kyoto, Japan.
Hissei ImaiDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Konoe-cho, Sakyo-ku, Kyoto, Japan.
Nozomi TakeshimaDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Konoe-cho, Sakyo-ku, Kyoto, Japan.
Yu HayasakaDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Konoe-cho, Sakyo-ku, Kyoto, Japan.
Toshi A FurukawaDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Konoe-cho, Sakyo-ku, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAbstracts of scientific reports are sometimes criticized for exaggerating significant results when compared to the corresponding full texts. Such abstracts can mislead the readers. We aimed to conduct a systematic review of overstatements in abstract conclusions in psychiatry trials.

methodsWe searched for randomized controlled trials published in 2014 that explicitly claimed effectiveness of any intervention for mental disorders in their abstract conclusion, using the Cochrane Register of Controlled Trials. Claims of effectiveness in abstract conclusion were categorized into three types: superiority (stating superiority of intervention to control), limited superiority (intervention has limited superiority), and equal efficactiveness (claiming equal effectiveness of intervention with standard treatment control), and full text results into three types: significant (all primary outcomes were statistically significant in favor of the intervention), mixed (primary outcomes included both significant and non-significant results), or all results non-significant. By comparing these classifications, we assessed whether each abstract was overstated. Our primary outcome was the proportion of overstated abstract conclusions.

resultsWe identified and included 60 relevant trials. 20 out of 60 studies (33.3%) showed overstatements. Nine reports reported only significant results although none of their primary outcomes were significant. Large sample size (>300) and publication in high impact factor (IF>10) journals were associated with low occurrence of overstatements.

conclusionsWe found that one in three psychiatry studies claiming effectiveness in their abstract conclusion, either superior to control or equal to standard treatment, for any mental disorders were overstated in comparison with the full text results. Readers of the psychiatry literature are advised to scrutinize the full text results regardless of the claims in the abstract.

trial registrationUniversity hospital Medical Information Network (UMIN) Clinical Trials Registry (UMIN000018668).

Indexed as

Abstracting and IndexingBiomedical ResearchHumansJournal Impact FactorMental DisordersMeta-Analysis as TopicPsychiatryRandomized Controlled Trials as Topic

Identifiers

PMID28902885
PMCPMC5597227

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Registered trials

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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.