即使使用严格的方法,共识会议的报告的价值通常也低于临床试验的报告。然而,有限的数据比较了这两种塑造临床实践方法的影响.
比较共识会议和临床试验的出版影响。
根据主题确定并分类了2002年至2017年急性疾病质量倡议(ADQI)的共识出版物。随机试验在同一发表年份和期刊上确定,从最高的影响因子开始。两种出版物类型都匹配,并使用谷歌学者确定每个人的总引用次数。二次分析比较了每种出版物类型的总成本。
确定了17份ADQI共识会议报告和17项随机试验。ADQI报告收到的每篇论文引用次数相似(中位数,四分位数范围)与随机试验(132,54-228;vs.159,60-340,p=ns)。同样,10例(58.8%)ADQI报告和10例随机试验被引用>100次。平均而言,与临床试验相比,ADQI报告出现在影响因子较低的期刊上(5.4±4.6vs.25.4±27.1;p<0.01)。ADQI报告的每次引用成本中位数(2017年美元)为606.01美元,而这一数字几乎是这个数字的两倍。1,182.59美元,用于相同主题的临床试验(p=0.09)。尽管发表在影响因子较低的期刊上,关于重症监护肾脏病学主题的共识报告,收到了与同年发表的随机对照试验相似的引用.
Reports of
consensus conferences are usually valued less than reports of clinical trials even when rigorous methodology is used. However, limited data are available comparing the impact of these 2 methods of shaping clinical practice.
Compare the publication impact of
consensus conferences and clinical trials.
Consensus publications from the Acute Disease Quality Initiative (ADQI) from 2002 through 2017 were identified and classified by subject matter. Randomized trials were identified in the same publication year and subject in journals, starting with the highest impact factor. Both publication types were matched, and total citations were determined for each using Google Scholar. A secondary analysis compared total costs for each publication type.
Seventeen ADQI
consensus conference reports and 17 randomized trials were identified. ADQI reports received a similar number of citations per paper (median, interquartile range) compared to randomized trials (132, 54-228; vs. 159, 60-340, p = ns). Similarly, 10 (58.8%) ADQI reports and 10 randomized trials were cited >100 times. On average, ADQI reports appeared in journals with lower impact factors compared to clinical trials (5.4 ± 4.6 vs. 25.4 ± 27.1; p < 0.01). The median cost per citation (USD 2017) for ADQI reports was USD 606.01 compared to almost twice this figure, USD 1,182.59, for clinical trials on the same topics (p = 0.09). Despite being published in lower impact factor journals,
consensus reports on topics in critical care nephrology, received similar citations to randomized controlled trials published the same year.