Randomized Controlled Trial Quality in Pediatric Physical Therapy

Paci, Matteo; Landi, Niccolò; Marchettini, Mariangela; Baccini, Marco

doi:10.3109/01942638.2013.827142

Cited by 4 publications

(3 citation statements)

References 28 publications

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“…In the field of physiotherapy, RCTs represent a small part of the totality of research articles, but their rate is comparable to other disciplines [ 13 – 15 ]. The number of RCTs published in physiotherapy journals [ 14 ] and the quality of RCTs in physiotherapy field [ 16 – 18 ] show an increase over years. To our knowledge, no studies have been performed to specifically analyse the citation rate of this relevant type of articles.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with citation rate of randomised controlled trials in physiotherapy

Paci

Landi²,

Briganti

et al. 2015

Arch Physiother

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BackgroundDespite the use of citation rate as a measure of quality of research is strongly criticized and debated, it remain a widely used method to evaluate performances of researchers, articles and journals. The aim of this study was to test which factors are associated with citation rate of Randomised Controlled Trials (RCTs) published on the physiotherapy field.MethodsAll RCTs abstracted in the Physiotherapy Evidence Database (PEDro), indexed in Scopus database and published in 2008 were included. PEDro score, language of publication, indexing in PubMed database, type of access to articles, subdiscipline, the number of authors, the country where the study was performed, the type of institution where the study was conducted and the number of centres involved in the study (multicentric vs single-centre). and the 2013 5-year impact factor of the publishing journals were considered as independent variables. Citation rate until December 2013 was extracted from Scopus database and used as dependent variable.ResultsSix hundred and nineteen RCTs, published in 283 journals, were included and analysed. The 5-year impact factor was the strongest variable associated with the citation rate and explained approximately 50 % of the variance, and the number of authors explained an additional small part (about 1 %) of variability. The other variables were excluded from the model.ConclusionsThe study highlights that 5-year Impact Factor, not accessibility (language of publication, indexing in PubMed database or the type of access to articles) or reported quality (PEDro score), is a strong predictor of the number of citations for RCTs in the physiotherapy field. Our findings support the increasingly widespread idea that citation analysis does not reflect the scientific merit of the cited work, at least in terms of reported quality.The results of this study need to be confirmed with a publication window larger than one year.

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Section: Introductionmentioning

confidence: 99%

Factors associated with citation rate of randomised controlled trials in physiotherapy

Paci

Landi²,

Briganti

et al. 2015

Arch Physiother

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“…(15) The number of controlled clinical trials, mixed method, observational studies and systematic reviews evaluating PT practice has increased considerably in the last few decades. (5,12,17,18) The Physical Therapy Evidence Database, PEDro (http://www.pedro.fhs.usyd.edu.au/), contained 2455 randomized controlled trials and 71 systematic reviews in 1989, rising to 4633 clinical trials by 2004, for example, with an additional 18,562 trials and 5674 systematic reviews added by August of 2016. (5,19) Increased recognition of the important contributions of qualitative and mixed methods research, incorporating both quantitative and qualitative methods is also transforming PT practice.…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Evaluation of Practice and Innovation in Physical Therapy Using the IDEAL-Physio Framework

et al. 2017

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The IDEAL framework is an established method for initial and ongoing evaluations of innovation and practice for complex health care interventions. First derived for surgical sciences and embedded at a global level for evaluating surgery/surgical devices, the IDEAL framework is based on the principle that innovation and evaluation in clinical practice can, and should, evolve together in an ordered manner: from conception to development and then to validation by appropriate clinical studies and, finally, longer-term follow-up. This framework is highly suited to other complex, nonpharmacological interventions, such as physical therapist interventions. This perspective outlines the application of IDEAL to physical therapy in the new IDEAL-Physio framework. The IDEAL-Physio framework comprises 5 stages. In stage 1, the idea phase, formal data collection should begin. Stage 2a is the phase for iterative improvement and adjustment with thorough data recording. Stage 2b involves the onset of formal evaluation using systematically collected group or cohort data. Stage 3 is the phase for formal comparative assessment of treatment, usually involving randomized studies. Stage 4 involves long-term follow-up. The IDEAL-Physio framework is recommended as a method for guiding and evaluating both innovation and practice in physical therapy, with the overall goal of providing better evidence-based care.

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“…In 2002, a systematic review evaluating the quality of published RCTs in pediatrics in complementary and alternative medicine [ 16 ], found that 81.3% (204/251) reported unclear allocation concealment, with no significant change over time. Inadequate method of random allocation, inappropriate description of outcome measures, inclusion or exclusion criteria, and small sample sizes are the main pitfalls that have been reported [ 17 , 23 – 25 ]. Elsewhere, a review of the literature that analyzed the pediatric RCTs between 1948 and 2006 showed a global improvement in the quality of the methodology in 37.7% of all RCTs, but no description of the blinding and concealment methods were provided [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Trends in the number and the quality of trial protocols involving children submitted to a French Institutional Review Board

Gautier

Janiaud

Rollet

et al. 2017

BMC Med Res Methodol

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BackgroundThere is a great need for high quality clinical research for children. The European Pediatric Regulation aimed to improve the quality of clinical trials in order to increase the availability of treatments for children. The main purpose of this study was to assess the evolution of both the number and the quality of pediatric trial protocols that were submitted to a French Institutional Review Board (IRB00009118) before and after the initiation of the EU Pediatric Regulation.MethodsAll protocols submitted to the IRB00009118 between 2003 and 2014 and conducting research on subjects under eighteen years of age were eligible. The quality of randomized clinical trials was assessed according to the guidelines developed by the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) Network and ranked using the Jadad score.ResultsOut of 622 protocols submitted to the Institutional Review Board (IRB), 21% (133/622) included children. Among these 133 pediatric protocols, the number of submitted pediatric protocols doubled between the two studied periods. From 2003 to 2008, 47 protocols including 21 institutionally sponsored were submitted to the IRB and from 2009 until 2014, 86 protocols including 48 institutionally sponsored were submitted. No significant trend was observed on the quality of RCTs. The overall median score of RCTs on the Jadad scale was high (3.5), 70.0% of protocols had a Jadad score ≥ 3, and 30.0% had a score < 3.ConclusionFollowing the EU Pediatric Regulation, the number of pediatric protocols submitted to the IRB00009118 tends to increase, but no change was noticed regarding their quality.

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Randomized Controlled Trial Quality in Pediatric Physical Therapy

Cited by 4 publications

References 28 publications

Factors associated with citation rate of randomised controlled trials in physiotherapy

Factors associated with citation rate of randomised controlled trials in physiotherapy

Evidence-Based Evaluation of Practice and Innovation in Physical Therapy Using the IDEAL-Physio Framework

Trends in the number and the quality of trial protocols involving children submitted to a French Institutional Review Board

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