Publications from multicentre clinical trials: statistical techniques and accessibility to the reader.

Articles from multicentre randomized clinical trials were analysed by methods adapted from Emerson and Colditz and Juzych et al. to compare the frequency with which different statistical methods are used by clinical trials investigators with the frequency used by other researchers, and to determine how much statistical knowledge is required to interpret the statistical treatment of data from clinical trials. We observed differences between the frequency of usage of statistical methods and the accessibility of the clinical trials publications and those of all medical research articles published by specific journals. Clinical trials publications are less accessible than others in medical journals to the reader who knows only descriptive statistics, t-tests, contingency tables, power calculations, and life table methods. Many more statistical methods must be known by a reader to understand fully publications regarding treatment group comparisons for the primary outcomes of interest from clinical trials.

[1]  S. Schor,et al.  Statistical evaluation of medical journal manuscripts. , 1966, JAMA.

[2]  A R Feinstein,et al.  XXV. A survey of the statistical procedures in general medical journals , 1974, Clinical pharmacology and therapeutics.

[3]  S M Gore,et al.  Misuse of statistical methods: critical assessment of articles in BMJ from January to March 1976. , 1977, British medical journal.

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

[5]  J. Hall,et al.  Misuse of statistical methods in the Australasian surgical literature. , 1982, The Australian and New Zealand journal of surgery.

[6]  J. D. Emerson,et al.  Use of statistical analysis in the New England Journal of Medicine. , 1983, The New England journal of medicine.

[7]  M. Gardner,et al.  Statistical guidelines for contributors to medical journals. , 1983, British medical journal.

[8]  G G Jackson,et al.  An evaluation of the use of statistical methodology in the Journal of Infectious Diseases. , 1984, The Journal of infectious diseases.

[9]  J D Emerson,et al.  Analyzing data from ordered categories. , 1984, The New England journal of medicine.

[10]  R F Meenan,et al.  Misuse of statistical methods in Arthritis and Rheumatism. 1982 versus 1967-68. , 1984, Arthritis and rheumatism.

[11]  K. Godfrey Comparing the Means of Several Groups , 1985, Medical Uses of Statistics.

[12]  M Forrest,et al.  Ordinal scale and statistics in medical research. , 1986, British medical journal.

[13]  J A Hokanson,et al.  Frequency and diversity of use of statistical techniques in oncology journals. , 1986, Cancer treatment reports.

[14]  C. Mackenzie,et al.  Standards for the use of ordinal scales in clinical trials. , 1986, British medical journal.

[15]  J A Hokanson,et al.  Spectrum and frequency of use of statistical techniques in psychiatric journals. , 1986, The American journal of psychiatry.

[16]  J. Hokanson,et al.  Statistical techniques reported in pathology journals during 1983-1985. Implications for pathology educators. , 1987, Archives of pathology & laboratory medicine.

[17]  R. Reznick,et al.  A rationale for the teaching of statistics to surgical residents. , 1987, Surgery.

[18]  M. McCracken,et al.  The reporting of statistical techniques in otolaryngology journals. , 1987, Archives of otolaryngology--head & neck surgery.

[19]  H. Wulff,et al.  What do doctors know about statistics? , 1987, Statistics in medicine.

[20]  E. Gracely,et al.  Impact of multiple comparisons in randomized clinical trials. , 1987, The American journal of medicine.

[21]  S. Pocock,et al.  Statistical problems in the reporting of clinical trials. A survey of three medical journals. , 1987, The New England journal of medicine.

[22]  R. G. Newcombe,et al.  Eyes or patients? Traps for the unwary in the statistical analysis of ophthalmological studies. , 1987 .

[23]  B. Hawkins Selection of controls for clinical research studies in ophthalmology. , 1988, Archives of ophthalmology.

[24]  J C Bailar,et al.  Guidelines for statistical reporting in articles for medical journals. Amplifications and explanations. , 1988, Annals of internal medicine.

[25]  J. Katz Two eyes or one? The data analyst's dilemma. , 1988, Ophthalmic surgery.

[26]  J C Javitt,et al.  When does the failure to find a difference mean that there is none? , 1989, Archives of ophthalmology.

[27]  D. Altman,et al.  Statisticians in Medical Schools , 1990, Journal of the Royal College of Physicians of London.

[28]  D. Altman,et al.  Improving Doctors' understanding of statistics , 1991 .

[29]  D G Altman,et al.  Statistics in medical journals: developments in the 1980s. , 1991, Statistics in medicine.

[30]  M. Juzych,et al.  Statistical techniques in ophthalmic journals. , 1992, Archives of ophthalmology.

[31]  D G Altman,et al.  The scandal of poor medical research , 1994, BMJ.