Justification and reporting of subgroup analyses were lacking or inadequate in randomised controlled trials

Fan, Jingchun, Song, Fujian and Bachmann, Max O. (2019) Justification and reporting of subgroup analyses were lacking or inadequate in randomised controlled trials. Journal of Clinical Epidemiology, 108. pp. 17-25. ISSN 0895-4356

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      Abstract

      Objectives: To assess the appropriateness and rationales of subgroup analyses planned in protocols of randomised controlled trials and reported in subsequent corresponding trial publications. Study design and setting: We searched PubMed to identify trial protocols published in journals during 2006-2017. From a total of 3774 initially identified records, we included a random sample of 479 protocols, and identified 280 trial publications corresponding to the included protocols. Results: Subgroup analyses were specified in 19% of the protocols, and reported in 21% of the trial publications. Of the 94 protocols with planned subgroup analyses, 32% mentioned testing for interaction and only three considered statistical power. Subgroup analyses were not pre-specified in 56% of the 59 trial publications with subgroup analyses. Subgroup analyses were stated as prespecified in nine trial publications, without support evidence from the corresponding protocols. Subgroup analyses were often reported insufficiently for assessing the consistency of subgroup effects across studies. Justifications for subgroup analyses were provided in only four trial protocols and in seven trial publications. Conclusions: Inappropriate specification and reporting of subgroup analyses remain problematic in protocols and reports of randomised controlled trials. Justifications or rationales for subgroup analyses were only rarely provided in trial protocols and reports.

      Item Type: Article
      Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
      Related URLs:
      Depositing User: LivePure Connector
      Date Deposited: 19 Dec 2018 10:30
      Last Modified: 04 Feb 2019 01:12
      URI: https://ueaeprints.uea.ac.uk/id/eprint/69361
      DOI: 10.1016/j.jclinepi.2018.12.009

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