Evidence map›Paper›PMID 33853643›Full record

ReviewTrials2021

Adherence to participant flow diagrams in trials on postoperative pain management after total hip and knee arthroplasty: a methodological review.

Thea Nørgaard Rønsbo, Jens Laigaard, Casper Pedersen, Ole Mathiesen, Anders Peder Højer Karlsen

Abstract readReview
In one paragraph

Review in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

5 authors.

Thea Nørgaard RønsboDepartment of Anaesthesiology, Centre for Anaesthesiological Research, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Jens LaigaardDepartment of Anaesthesiology, Centre for Anaesthesiological Research, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Casper PedersenDepartment of Anaesthesiology, Centre for Anaesthesiological Research, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Ole MathiesenDepartment of Anaesthesiology, Centre for Anaesthesiological Research, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Anders Peder Højer KarlsenDepartment of Anaesthesiology, Centre for Anaesthesiological Research, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark. andersphkarlsen@gmail.com.ORCID http://orcid.org/0000-0002-0338-3751

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Consolidated Standards of Reporting Trials (CONSORT) statement aims to improve transparent reporting of randomised clinical trials. It comprises a participant flow diagram with the reporting of essential numbers for enrolment, allocation and analyses. We aimed to quantify the use of participant flow diagrams in randomised clinical trials on postoperative pain management after total hip and knee arthroplasty.

methodsWe searched PubMed, Embase and CENTRAL up till January 2020. The primary outcome was the proportion of trials with adequate reporting of participant flow diagrams, defined as reporting of number of participants screened for eligibility, randomised and included in the primary analysis. Secondary outcomes were recruitment (randomised:screened) and retention (analysed:randomised) rates, reporting of a statistical strategy, reasons for exclusion from the primary analysis and handling of missing outcome data. Trends over time were assessed with statistical process control.

resultsOf the 570 included trials, we found adequate reporting in 240 (42%). Reporting with participant flow diagram increased significantly over time. Median recruitment was 73% (IQR 44-91%), and retention was 97% (IQR 93-100%). These rates did not change over time. Trials with adequate reporting of participant flow were more likely to report a statistical strategy (41% vs 8%), reasons for post-randomisation exclusions (100% vs 55%) and handling of missing outcome data (14% vs 6%).

conclusionsAdherence to participant flow diagrams for RCTs has increased significantly over time. Still, there is room for improvement of adequate reporting of flow diagrams, to increase transparency of trials details.

Indexed as

Arthroplasty, Replacement, KneeHumansPostoperative PainResearch Report

Identifiers

PMID33853643
PMCPMC8048275

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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.