Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Aug:88:81-91.
doi: 10.1016/j.jclinepi.2017.05.009. Epub 2017 May 19.

Quality of missing data reporting and handling in palliative care trials demonstrates that further development of the CONSORT statement is required: a systematic review

Affiliations

Quality of missing data reporting and handling in palliative care trials demonstrates that further development of the CONSORT statement is required: a systematic review

Jamilla A Hussain et al. J Clin Epidemiol. 2017 Aug.

Abstract

Objectives: Assess (i) the quality of reporting and handling of missing data (MD) in palliative care trials, (ii) whether there are differences in the reporting of criteria specified by the Consolidated Standards of Reporting Trials (CONSORT) 2010 statement compared with those not specified, and (iii) the association of the reporting of MD with journal impact factor and CONSORT endorsement status.

Study design and setting: Systematic review of palliative care randomized controlled trials. CENTRAL, MEDLINE, and EMBASE (2009-2014) were searched.

Results: One hundred and eight trials (15,560 participants) were included. MD was incompletely reported and not handled in accordance with current guidance. Reporting criteria specified by the CONSORT statement were better reported than those not specified (participant flow, 69%; number of participants not included in the primary outcome analysis, 94%; and the reason for MD, 71%). However, MD in items contributing to scale summaries (10%) and secondary outcomes (9%) were poorly reported, so the proportion of MD stated is likely to be an underestimate. The reason for MD provided was unclear for 54% of participants and only 16% of trials with MD reported a MD sensitivity analysis. The odds of reporting most of the MD and other risk of bias reporting criteria were increased as the journal impact factor increased and in journals that endorsed the CONSORT statement.

Conclusion: Further development of the CONSORT MD reporting guidance is likely to improve the quality of reporting. Reporting recommendations are provided.

Keywords: Data reporting; Missing data; Palliative care; Randomized controlled trials; Research report; Systematic review.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses study flow diagram.
Fig. 2
Fig. 2
Recommendations for reporting missing data.

References

    1. Li T., Hutfless S., Scharfstein D.O., Daniels M.J., Hogan J.W., Little R.J. Standards should be applied in the prevention and handling of missing data for patient-centered outcomes research: a systematic review and expert consensus. J Clin Epidemiol. 2014;67:15–32. - PMC - PubMed
    1. Akl E.A., Shawwa K., Kahale L.A., Agoritsas T., Brignardello-Petersen R., Busse J.W. Reporting missing participant data in randomised trials: systematic survey of the methodological literature and a proposed guide. BMJ Open. 2015;5:e008431. - PMC - PubMed
    1. Hussain J.A., White I.R., Langan D., Johnson M.J., Currow D.C., Torgerson D.J. Missing data in randomized controlled trials testing palliative interventions pose a significant risk of bias and loss of power: a systematic review and meta-analyses. J Clin Epidemiol. 2016;74:57–65. - PMC - PubMed
    1. Moher D., Hopewell S., Schulz K.F., Montori V., Gotzsche P.C., Devereaux P.J. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ. 2010;340:c869. - PMC - PubMed
    1. Kistin C.J. Transparent reporting of missing outcome data in clinical trials: applying the general principles of CONSORT 2010. Evid Based Med. 2014;19:161–162. - PubMed

Publication types