A trial bank model for the publication of clinical trials.

Clinical trials constitute one of the main sources of medical knowledge, yet trial reports are difficult to find, read, and apply to clinical care. Reasons for these difficulties include the lack of a common, standardized, structure for trial reports; the restricted length of reports; and limited computer support for use of the literature. We propose a new model of reporting clinical trials, in which trials are published as both prose commentary and as data in electronic "trial banks." The prose will allow authors to discuss their trials in writing; the electronic database will allow readers easy access to well-defined data about the trials. We are developing a formal conceptual model of the clinical trials domain for integrating the use of multiple trial banks. We will then focus on validating this conceptual model with clinical literature users.

[1]  B. Haynes,et al.  Systematic Reviews: Reporting, updating, and correcting systematic reviews of the effects of health care , 1994 .

[2]  Thomas R. Gruber,et al.  A translation approach to portable ontology specifications , 1993, Knowl. Acquis..

[3]  Glenn D. Rennels,et al.  A Computational Model of Reasoning from the Clinical Literature , 1986, AI Mag..

[4]  J. Buring,et al.  The benefits of aspirin in acute myocardial infarction. Still a well-kept secret in the United States. , 1994, Archives of internal medicine.

[5]  K. Dickersin,et al.  Identification of meta-analyses. The need for standard terminology. , 1990, Controlled clinical trials.

[6]  Harold P. Lehmann A Bayesian computer-based approach to the physician's use of the clinical research literature , 1991 .

[7]  D. Rennie Reporting randomized controlled trials. An experiment and a call for responses from readers. , 1995, JAMA.

[8]  S. Glantz Biostatistics: how to detect, correct and prevent errors in the medical literature. , 1980, Circulation.

[9]  Yuval Shahar,et al.  Ontology-based configuration of problem-solving methods and generation of knowledge-acquisition tools: application of PROTEGE-II to protocol-based decision support , 1995, Artif. Intell. Medicine.

[10]  P. Easterbrook Directory of registries of clinical trials. , 1992, Statistics in medicine.

[11]  M. Gardner,et al.  More informative abstracts revisited. , 1990, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[12]  Curtis L. Meinert,et al.  A proposal for structured reporting of randomized controlled trials. The Standards of Reporting Trials Group. , 1994, JAMA.

[13]  R. Brian Haynes,et al.  Developing optimal search strategies for detecting clinically sound studies in MEDLINE. , 1994, Journal of the American Medical Informatics Association : JAMIA.

[14]  C Burks,et al.  Electronic data publishing and GenBank. , 1991, Science.