Reports of clinical trials should begin and end with up-to-date systematic reviews of other relevant evidence: A status report.
Abstract
Scientific and ethical justification for new clinical trials requires them to have been designed in the light of scientifically defensible assessments of relevant previous research. Reliable interpretation of the results of new clinical trials entails setting them in the context of updates of the reviews upon which they were deemed scientifically and ethically justifiable. We have shown previously that most reports of randomized trials published in five general medical journals in May 1997 and in May 2001 failed to set their results in the context of the findings from similar research. In the current study, we assess whether there had been progress in this respect in 2005 and also investigate the extent to which reports begin by referring to systematic reviews providing the justification for the new research reported.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Authors of primary studies do not consider a systematic review when they design their studies.
“There is evidence that this still does not occur as it should and that authors of primary studies do not consider a systematic review when they design their studies [163].”
From The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration (2009) · cites this paper as [163]
Cites
Dalziel, S. R., Walker, N. K., Parag, V., Mantell, C., Rea, H. H., Rodgers, A., & Harding, J. E. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66617-2 · Cited by 461 · see citing works
Jokhio, A. H., Winter, H. R., & Cheng, K. K. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa042830 · Cited by 366 · see citing works
Penny, M. E., Creed‐Kanashiro, H., Robert, R. C., Narro, M. R., Caulfield, L. E., & Black, R. E. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66426-4 · Cited by 344 · see citing works
MacMillan, H. L., Thomas, B. H., Jamieson, E., Walsh, C. A., Boyle, M. H., Shannon, H. S., & Gafni, A. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66388-x · Cited by 188 · see citing works
Ciliberto, H. M., Ciliberto, M. A., Briend, A., Ashorn, P., Bier, D. M., & MANARY, M. J. (2005) · BMJ · doi:10.1136/bmj.38427.404259.8f · Cited by 115 · see citing works
Acupuncture for Patients With Migraine: A Randomized Controlled Trial
(2005) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000173959.59673.20 · Cited by 48 · see citing works
Use of Exhaled Nitric Oxide Measurements to Guide Treatment in Chronic Asthma
Chipps, B. E. (2006) · PEDIATRICS · doi:10.1542/peds.2006-0900ccc · Cited by 39 · see citing works
Hakonarson, H. H., Thorvaldsson, S., & Helgadóttir, A. (2005) · ACC Current Journal Review · doi:10.1016/j.accreview.2005.08.001 · Cited by 11 · see citing works
A Randomized, Double-blind, Placebocontrolled Trial of Rifaximin to Prevent Travelers' Diarrhea
Barkin, J. S. (2006) · Yearbook of Medicine · doi:10.1016/s0084-3873(08)70561-3 · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164 · see citing works
Self-citationLiberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · BMJ · doi:10.1136/bmj.b2700 · Cited by 17,648 · see citing works
Self-citationLiberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · Italian Journal of Public Health · doi:10.2427/5768 · Cited by 3,374 · see citing works
Self-citationMoher, D., Hopewell, S., Schulz, K. F., Montori, V., Gøtzsche, P. C., Devereaux, P. J., Elbourne, D., Egger, M., & Altman, D. G. (2012) · International Journal of Surgery · doi:10.1016/j.ijsu.2011.10.001 · Cited by 2,345 · see citing works
Self-citationMoher, D., Hopewell, S., Schulz, K. F., Montori, V., Gøtzsche, P. C., Devereaux, P. J., Elbourne, D., Egger, M., & Altman, D. G. (2010) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.03.004 · Cited by 1,858 · see citing works
Self-citationWhy Most Clinical Research Is Not Useful
Ioannidis, J. P. A. (2016) · PLOS Medicine · doi:10.1371/journal.pmed.1002049 · Cited by 655 · see citing works
Are systematic reviews up-to-date at the time of publication?
Beller, E. M., Chen, J. K.-H., Wang, U. L.-H., & Glasziou, P. P. (2013) · Systematic Reviews · doi:10.1186/2046-4053-2-36 · Cited by 196 · see citing works
Forest plots in reports of systematic reviews: a cross-sectional study reviewing current practice
Schriger, D. L., Altman, D. G., Vetter, J. A., Heafner, T., & Moher, D. (2010) · International Journal of Epidemiology · doi:10.1093/ije/dyp370 · Cited by 87 · see citing works
Goudie, A. C., Sutton, A. J., Jones, D. R., & Donald, A. (2010) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.01.022 · Cited by 63 · see citing works
Puhan, M. A., Vollenweider, D., Steurer, J., Bossuyt, P. M., & ter Riet, G. (2008) · BMC Medicine · doi:10.1186/1741-7015-6-28 · Cited by 38 · see citing works
- Authors
- Clarke, M., Hopewell, S., & Chalmers, L.
- Affiliations
- Cochrane (GB)
- James Lind Initiative, Summertown Pavilion, Middle Way, Oxford 0X2 7LG, United Kingdom
- Corresponding author
- Clarke, Mike
- Venue
- Journal of the Royal Society of Medicine
- Publisher
- SAGE Publications
- Published
- 2007-04
- Volume
- 100
- Issue
- 4
- Pages
- 187-190
- ISSN
- 0141-0768 (ISSN-L)
- 1758-1095
- OpenAlex
- W4250630426
- Cited by
- 59
- References
- 9
- Citations by year
- 2025: 2 · 2023: 3 · 2022: 1 · 2021: 3 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 6 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the Royal Society of Medicine (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmaceutical industry and healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- clinical trial reporting, systematic reviews, evidence synthesis, research justification, trial design, medical journal articles, evidence-based medicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review