Evidence map›Paper›PMID 37062556›Full record

SynthesisSaudi medical journal2023

Systematic review and pooled analysis of randomized controlled trials in countries of the Gulf Cooperation Council (GCC): Methods and quality assessment.

Khalid S Alraddadi, Fayzah H Al-Adwani, Rajaa M Al-Raddadi, Sultan H Alamri, Iman K Ramadan, Ahmad A Mirza

Abstract readSystematic Review
In one paragraph

Synthesis in Saudi medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Khalid S AlraddadiFrom the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Fayzah H Al-AdwaniFrom the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Rajaa M Al-RaddadiFrom the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Sultan H AlamriFrom the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Iman K RamadanFrom the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Ahmad A MirzaFrom the Department of Primary Health Care (Alraddadi, Al-Adwani), National Guard Health Affairs, King Saud bin Abdulaziz University for Health Sciences; from the Department of Community Medicine (Al-Raddadi, Ramadan), and from the Department of Family Medicine (Alamri), Faculty of Medicine, King Abdulaziz University; from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; from the Department of Community Medicine (Ramadan), Faculty of Medicine, Al-Azhar University, Cairo, Egypt; and from the Department of Otolaryngology-Head and Neck Surgery (Mirza), Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe variations in characteristics of randomized controlled trials conducted in the Gulf Cooperation Council (GCC) countries, and critically appraising the quality of design, conduct and analysis of the trials.

methodsWe carried out a systematically comprehensive electronic search of articles published between 1990 and 2018 and indexed in several databases: i) MEDLINE/PubMed, ii) EMBASE, iii) Cochrane Central Register of Controlled Trials (CENTRAL), iv) ClinicalTrials.gov, and v) World Health Organization International Clinical Trials Registry Platform. We summarized the overall risk of bias present in all analyzed studies using the Cochrane Collaboration risk of bias tool (CCRBT).

resultsA remarkable shift in numbers of publications from 2006 onwards was found. The largest number of publications were from Saudi Arabia and consisted of hospitals/clinics based studies. Lack of randomization was found in the majority of reports, and nearly three-fourth of the studies involved the use of intention-to-treat (ITT) principle. However, the proportion of adequately generated random sequence methods has increased yearly, and this increase accounted for a relatively large proportion over the latter half of the studied period (

conclusionThe randomization methods have gained more attention over the last 3 decades. Secondly, Journal impact factor can serve as an indicator of randomization quality. To mitigate the large rate of overall high risk of bias in GCC studies, high-quality trials must be considered by ensuring adequate allocation concealment and blinding methods.

Indexed as

Journal Impact FactorHumansRandomized Controlled Trials as TopicSaudi ArabiaArab worldbiasClinical Trialsystematic review

Identifiers

PMID37062556
PMCPMC10153608

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.