Guidelines para publicação de estudos científicos. Parte 3
Como publicar ensaios clínicos
Palavras-chave:
Ensaio clínico, componentes de publicações, formatos de publicação, viés de publicação, manuais e guias para a gestão da pesquisa, medicina baseada em evidênciasResumo
Introdução: Apesar da importância do relato adequado de estudos científicos, muitos ensaios clínicos continuam sendo publicados inadequadamente, com a exposição incompleta ou ambígua de seus métodos e resultados, dificultando conclusões sólidas sobre a efetividade da intervenção estudada e sobre a reprodutibilidade dos procedimentos. Várias guidelines foram elaboradas com o objetivo de melhorar o relato e aumentar a transparência dos estudos científicos na área da saúde. Objetivos: Apresentar a ferramenta CONSORT (CONsolidated Standards of Reporting Trials), suas extensões e ferramentas derivadas, que objetivam orientar a redação de artigos baseados em ensaios clínicos. Métodos: Estudo descritivo e de análise crítica realizado na Disciplina de Medicina Baseada em Evidências da Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), com busca da literatura. Resultados: A busca inicial resultou em 18 ferramentas. Foram incluídas a ferramenta CONSORT original e 17 extensões e ferramentas derivadas, elaboradas para desenhos ou situações clínicas mais específicos. Conclusão: O relato de estudos científicos deve ser realizado de forma clara, transparente e completa, ou seja, apresentar todas as informações que são necessárias para a interpretação e a reprodutibilidade do estudo, sem ocultação de detalhes importantes. A ferramenta CONSORT e suas extensões derivadas são essenciais para a adequação do relato de ensaios clínicos e seu uso deve ser incentivado.
Referências
Moher D, Altman DG, Schulz KF, Simera I. How to develop a reporting guideline. In: Moher D, Altman DG, Schulz KF, Simera I, Wager E, editors. Guidelines for reporting health research: a user’s manual. Chichester: John Wiley & Sons, Ltd; 2014. p. 14-5.
Chalmers I, Glasziou P. Avoidable waste in the production and reporting of research evidence. Lancet. 2009;374(9683):86-9.
Moher D, Glasziou P, Chalmers I, et al. Increasing value and reducing waste in biomedical research: who’s listening? Lancet. 2016;387(10027):1573-86.
Moher D, Altman DG. Importance of transparent reporting of health research. In: Moher D, Altman DG, Simera I, Schulz KF, Wager E, editors. Guidelines for reporting health research: a user’s manual. Chichester: John Wiley & Sons, Ltd; 2014. p. 4-6.
Ndounga Diakou LA, Ntoumi F, Ravaud P, Boutron I. Avoidable waste related to inadequate methods and incomplete reporting of interventions: a systematic review of randomized trials performed in Sub-Saharan Africa. Trials. 2017;18(1):291.
International Committee of Medical Journal Editors. Recommendations. Preparing for Submission. Disponível em: http://www.icmje.org/recommendations/browse/manuscript-preparation/preparing-for-submission.html. Acessado em 2017 (3 ago).
Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel grouprandomised trials. BMJ. 2010;340:c332.
De Angelis C, Drazen JM, Frizelle FA, et al. Clinical trial registration: a statement from the International Committee of Medical Journal Editors. Lancet. 2004;364(9438):911-2.
Dechartres A, Charles P, Hopewell S, Ravaud P, Altman DG. Reviews assessing the quality or the reporting of randomized controlled trials are increasing over time but raised questions about how quality is assessed. J Clin Epidemiol. 2011;64(2):136-44.
Pacheco RL, Latorraca COC, Pachito DV, Riera R. Guidelines para publicação de estudos científicos. Parte 1: Como publicar relatos e séries de casos [Guidelines for publication of scientific studies. Part 1: How to publish case reports and series]. Diagn Tratamento. 2017;22(2):78-82.
Pacheco RL, Martimbianco ALC, Garcia CM, Logullo P, Riera R. Guidelines para publicação de estudos científicos. Parte 2: Como publicar estudos observacionais (coorte, caso-controle e transversal). Diagn Tratamento. 2017;22(3):121-6.
Lass A. Improving the Reporting of Clinical Trials of Infertility Treatments (IMPRINT): modifying the CONSORT statement-what about registration studies? Hum Reprod. 2015;30(2):490.
CONSORT Translations. Lista de informações CONSORT 2010 para incluir no relatório de um estudo randomizado. Disponível em: http://www.consort-statement.org/Media/Default/Downloads/Translations/Portuguese_pt/PortugueseCONSORT Checklist.doc. Acessado em 2017 (3 ago).
Campbell MK, Piaggio G, Elbourne DR, Altman DG; CONSORT Group. Consort 2010 statement: extension to cluster randomised trials. BMJ. 2012;345:e5661.
Piaggio G, Elbourne DR, Pocock SJ, et al. Reporting of noninferiority and equivalence randomized trials: extension of the CONSORT 2010 statement. JAMA. 2012;308(24):2594-604.
Zwarenstein M, Treweek S, Gagnier JJ, et al. Improving the reporting of pragmatic trials: an extension of the CONSORT statement. BMJ. 2008;337:a2390
Vohra S, Shamseer L, Sampson M, et al. CONSORT extension for reporting N-of-1 trials (CENT) 2015 Statement. BMJ. 2015;350:h1738.
Eldridge SM, Chan CL, Campbell MJ, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. Pilot Feasibility Stud. 2016;2:64. eCollection 2016.
MacPherson H, Altman DG, Hammerschlag R, et al. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med. 2010;7(6):e1000261.
Boutron I, Moher D, Altman DG, et al. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148(4):295-309.
Hopewell S, Clarke M, Moher D, et al. CONSORT for reporting randomized controlled trials in journal and conference abstracts: explanation and elaboration. PLoS Med. 2008;5(1):e20.
Des Jarlais DC, Lyles C, Crepaz N; TREND Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004;94(3):361-6.
Hemming K, Haines TP, Chilton PJ, Girling AJ, Lilford RJ. The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting. BMJ. 2015;350:h391.
Calvert M, Blazeby J, Altman DG, et al. Reporting of patient-reported outcomes in randomized trials: the CONSORT PRO extension. JAMA. 2013;309(8):814-22.
Cheng A, Kessler D, Mackinnon R, et al. Reporting Guidelines for Health Care Simulation Research: Extensions to the CONSORT and STROBE Statements. Simul Healthc. 2016;11(4):238-48.
Ioannidis JP, Evans SJ, Gøtzsche PC, et al. Better reporting of harms in randomized trials: an extension of the CONSORT statement. Ann Intern Med. 2004;141(10):781-8.
Gagnier JJ, Boon H, Rochon P, et al. Reporting randomized, controlled trials of herbal interventions: an elaborated CONSORT statement. Ann Intern Med. 2006;144(5):364-7.
Cheng CW, Wu TX, Shang HC, et al. CONSORT Extension for Chinese Herbal Medicine Formulas 2017: Recommendations, Explanation, and Elaboration (Traditional Chinese Version). Ann Intern Med. 2017;167(2):W7-W20.
Pandis N, Fleming PS, Hopewell S, Altman DG. The CONSORT Statement: Application within and adaptations for orthodontic trials. Am J Orthod Dentofacial Orthop. 2015;147(6):663-79.
Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687.
Glasziou P, Altman DG, Bossuyt P, et al. Reducing waste from incomplete or unusable reports of biomedical research. Lancet. 2014;383(9913):267-76.
Altman DG. Poor-quality medical research: what can journals do? JAMA. 2002;287(21):2765-7.
Schulz KF, Moher D, Altman DG. Ambiguities and confusions between reporting and conduct. In: Moher D, Altman DG, Schulz KF, Simera I, Wager E, editors. Guidelines for reporting health research: a user’s manual. Chichester: John Wiley & Sons, Ltd; 2014. p. 41-7.
Equator Network. Enhancing the QUAlity and Transparency Of health Research. Improving the reporting of clinical trials of infertility treatments (IMPRINT): modifying the CONSORT statement. Disponível em: www.equator-network.org/reporting-guidelines/improving-the-reporting-of-clinical-trials-of-infertility-treatments-imprint-modifying-the-consort-statement/. Acessado em 2017 (4 ago).


