Evidence map›Paper›PMID 41340094›Full record

ArticleBMC gastroenterology2025

Research waste among randomized clinical trials in endoscopic resection of gastrointestinal lesions: a cross-sectional study of ClinicalTrials.gov.

Yun Dai, Xue-Ting Li, Yong-Shen Zheng, Jin-Hai Chen, Guo-Xing Xu, Hai-Xing Wang

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. 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. 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.

Yun Dai *Department of Endoscopy, School of Medicine, The First Affiliated Hospital of Xiamen University, Xiamen University, No. 55 Zhenhai Road, Siming District, Xiamen, 361003, Fujian, China.
Xue-Ting Li *Department of Central Laboratory, Fujian Key Clinical Specialty of Laboratory Medicine, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, China.
Yong-Shen ZhengDepartment of Endoscopy, School of Medicine, The First Affiliated Hospital of Xiamen University, Xiamen University, No. 55 Zhenhai Road, Siming District, Xiamen, 361003, Fujian, China.
Jin-Hai ChenDepartment of Endoscopy, School of Medicine, The First Affiliated Hospital of Xiamen University, Xiamen University, No. 55 Zhenhai Road, Siming District, Xiamen, 361003, Fujian, China.
Guo-Xing XuDepartment of Endoscopy, School of Medicine, The First Affiliated Hospital of Xiamen University, Xiamen University, No. 55 Zhenhai Road, Siming District, Xiamen, 361003, Fujian, China.
Hai-Xing WangDepartment of Endoscopy, School of Medicine, The First Affiliated Hospital of Xiamen University, Xiamen University, No. 55 Zhenhai Road, Siming District, Xiamen, 361003, Fujian, China. wanghaixing0908@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the association between the characteristics of randomized clinical trials (RCTs) on endoscopic resection and research waste, and to explore potential targets for improvement.

methodsClinicalTrials.gov was searched for phase 3 or 4 RCTs registered between January 01,2000 and December 31, 2021 using the keyword endoscopic resection along with synonyms. The publication status was determined by conducting systematic searches in the PubMed and Google Scholar databases. The adequacy of reporting was assessed using the Consolidated Standards of Reporting Trials (CONSORT) Reporting Guideline Checklist. Design limitations were evaluated based on risk of bias and whether the manuscript cited a relevant systematic review. The primary outcome was research waste, defined as unpublished data, inadequate reporting, or avoidable design limitations.

resultsA total of 86 trials were included. Only 47 (54.7%) RCTs were published after peer review. These trials were more likely than unpublished RCTs to focus on colorectal disease (68.1% vs. 35.9%, P = 0.003) and to have a multicenter design (44.7% vs. 25.6%, P = 0.067). Among the RCTs that were published, 24 (51.1%) of them were deemed to have sufficient reporting and were free from any design limitations. Overall, 70 of the 86 RCTs (81.4%) exhibited research waste. Multivariate analysis revealed that a blinded (P = 0.021) and multicenter (P = 0.017) RCT design independently reduced the risk of research waste.

conclusionMost RCTs on endoscopic resection of gastrointestinal lesions could be burdened by research waste. Efforts should focus on improving unblinded, single-center RCTs to reduce unnecessary research waste.

Indexed as

Endoscopy, GastrointestinalRandomized Controlled Trials as TopicResearch DesignCross-Sectional StudiesDatabases, FactualHumansClinicalTrials.govEndoscopic resectionRandomized clinical trialResearch waste

Identifiers

PMID41340094
PMCPMC12676842

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.