Evidence map›Paper›PMID 35715806›Full record

Trial reportBMC complementary medicine and therapies2022

Developing and implementing a self-monitoring toolkit for a coordinated multinational randomized acupuncture trial.

Sylvia Baedorf Kassis, Weidong Lu, Sarah A White, Im Hee Shin, Sung Hwan Park, Young Ju Jeong, Chang Yao, Jennifer Ligibel, Barbara E Bierer

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary medicine and therapies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03783546 (Acupuncture for Hot Flashes in Hormone Receptor-Positive Breast Cancer, a Randomized Controlled Trial), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.7field-weighted citation impact, top 25% of its field
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.

NCT03783546 nacompletednot on this map

Acupuncture for Hot Flashes in Hormone Receptor-Positive Breast Cancer, a Randomized Controlled Trial

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2019 to 2022Enrolled84ConditionsBreast CancerArmsAcupuncture, Usual Care
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 5 institutions in 3 countries.

Sylvia Baedorf KassisMulti-Regional Clinical Trials Center of Brigham and Women's Hospital and Harvard, Cambridge, MA, USA.
Weidong LuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Sarah A WhiteMulti-Regional Clinical Trials Center of Brigham and Women's Hospital and Harvard, Cambridge, MA, USA.
Im Hee ShinDepartment of Medical Statistics & Informatics, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Sung Hwan ParkDepartment of Surgery, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Young Ju JeongDepartment of Surgery, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Chang YaoDepartment of Oncology, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing, China.
Jennifer LigibelDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Barbara E BiererMulti-Regional Clinical Trials Center of Brigham and Women's Hospital and Harvard, Cambridge, MA, USA. bbierer@bwh.harvard.edu.
Catholic University of Daegu · KRBrigham and Women's Hospital · USDana-Farber Cancer Institute · USHarvard University · USJiangsu Provincial Hospital of Traditional Chinese Medicine · CN

Funding

Ministry of Health and Welfare, Republic of Korea HI20C1753
6 · The paper itself

Abstract

backgroundIn 2019, investigators from China, South Korea and the United States of America initiated a coordinated multinational trial. The trial included three parallel randomized studies with a planned pooled analysis of individual patient data, to test the effectiveness of acupuncture on hot flash-related symptoms in hormone receptor-positive breast cancer patients prescribed adjuvant endocrine therapy. Given the study's approach, there was no central coordinating center or data monitoring committee for the study, so a site performance self-monitoring toolkit was developed and implemented to support study teams in collecting and maintaining high-quality regulatory information, and consistent review of study data and documentation.

methodsThe site performance self-monitoring toolkit was created based on best practices related to post-approval quality assurance/quality improvement (QA/QI) procedures that support data quality. The toolkit included: (1) a binder of essential study management documents and related monitoring logs for sites to complete and maintain (herein called regulator binder), (2) a study start-up checklist, (3) a self-assessment study conduct and oversight checklist to be completed regularly, and (4) a study close-out checklist. In addition, a process of regular virtual meetings to discuss documentation progress coupled with periodic external remote review of completed logs and checklists provided accountability checks.

resultsOver the course of the study, the sites in China and South Korea completed the entirety of the site performance self-monitoring toolkit, and successfully submitted their completed materials for review. The process of implementing a self-monitoring toolkit in a multinational integrative medicine study is described qualitatively. Periodic external review of the completed toolkit materials revealed categories of findings. Written follow-up reports were provided to sites and discussion of the documents occurred via separate virtual meetings.

conclusionsSite study team self-monitoring provides a feasible, consistent, and effective way to review the collection and maintenance of data and regulatory documentation for quality assessment in minimal risk clinical research studies and can augment formal study monitoring activities in higher risk studies. Iterative feedback and support appeared to drive a disciplined approach to maintaining regulatory document compliance and helped sustain investigator and study team engagement in the process.

trial registrationClinicalTrials.gov Identifier NCT03783546 (21/12/2018).

Indexed as

Acupuncture TherapyChinaHumansRepublic of KoreaUnited StatesClinical trialPerformance monitoringQuality assuranceRegulatory binderSelf-assessment

Identifiers

PMID35715806
PMCPMC9204361
OpenAlexW4283030905

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.