Evidence map›Paper›PMID 35460394›Full record

ArticlePediatric nephrology (Berlin, Germany)2023

Missing trial results: analysis of the current publication rate of studies in pediatric dialysis from 2003 to 2020.

Christian Patry, Alexander Fichtner, Britta Höcker, Markus Ries, Claus Peter Schmitt, Burkhard Tönshoff

Abstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Time to publication for results of clinical trials.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Article
  3. Chronic kidney disease in children: an update.Clinical kidney journal · 2023
    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

6 authors.

Christian PatryDepartment of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany. Christian.Patry@med.uni-heidelberg.de.ORCID 0000-0002-1270-6508
Alexander FichtnerDepartment of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany.
Britta HöckerDepartment of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-4131-2273
Markus RiesDepartment of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-5054-5741
Claus Peter SchmittDepartment of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany.
Burkhard TönshoffDepartment of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-6598-6910

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecision-making in the field of pediatric dialysis requires evidence from clinical trials, but, similar to other fields of pediatric medicine, might be affected by a low trial publication rate.

methodsWe analyzed the current publication rate, the time to publication, and factors that might be associated with both rate of and time to publication in pediatric dialysis studies registered as completed on ClinicalTrials.gov from 2003 until November 2020.

resultsFifty-three respective studies were identified. These enrolled 7287 patients in total. 28 of 53 studies (52.8%) had results available. We identified a median time to publication of 20.5 months (range, 3-67). Studies published after the FDA Amendments Act establishment in 2007 were published faster (P = 0.025). There was no trend toward a higher publication rate of studies completed more recently (P = 0.431). 26 of 53 studies (49.1%) focused on medication and control of secondary complications of kidney failure. 12 of 53 studies (22.6%) enrolled only children, were published faster (P = 0.029) and had a higher 5-year publication rate (P = 0.038) than studies enrolling both children and adults. 25 of 53 studies (47.1%) were co-funded by industry. These were published faster (P = 0.025).

conclusionsCurrently, only 52.8% of all investigated studies in pediatric dialysis have available results, and the overall median time to publication did not meet FDA requirements. This might introduce a publication bias into the field, and it might negatively impact clinical decision-making in this critical subspecialty of pediatric medicine. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

PublishingRenal DialysisChildHumansFDA Amendments ActPediatric dialysisPublication rateTime to publication

Identifiers

PMID35460394
PMCPMC9747852

What OpenQuestion holds

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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.