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Indicators of questionable research practices were identified in 163,129 randomized controlled trials

  • Johanna A. Damen*
  • , Pauline Heus
  • , Herm J. Lamberink
  • , Joeri K. Tijdink
  • , Lex Bouter
  • , Paul Glasziou
  • , David Moher
  • , Willem M. Otte
  • , Christiaan H. Vinkers
  • , Lotty Hooft
  • *Corresponding author for this work
  • University Medical Center Utrecht
  • Haaglanden Medisch Centrum
  • Vrije Universiteit Amsterdam
  • Department of Internal Medicine, section of Geriatric Medicine, Amsterdam UMC, Amsterdam, the Netherlands
  • Bond University
  • University of Ottawa
  • Amsterdam UMC - University of Amsterdam
  • Amsterdam Public Health
  • GGZ InGeest
  • Utrecht University
  • Department of Psychiatry, Amsterdam UMC, Amsterdam, the Netherlands
  • Amsterdam University Medical Centers
  • Amsterdam UMC

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Objectives: To explore indicators of the following questionable research practices (QRPs) in randomized controlled trials (RCTs): (1) risk of bias in four domains (random sequence generation, allocation concealment, blinding of participants and personnel, and blinding of outcome assessment); (2) modifications in primary outcomes that were registered in trial registration records (proxy for selective reporting bias); (3) ratio of the achieved to planned sample sizes; and (4) statistical discrepancy. Study Design and Setting: Full texts of all human RCTs published in PubMed in 1996–2017 were automatically identified and information was collected automatically. Potential indicators of QRPs included author-specific, publication-specific, and journal-specific characteristics. Beta, logistic, and linear regression models were used to identify associations between these potential indicators and QRPs. Results: We included 163,129 RCT publications. The median probability of bias assessed using Robot Reviewer software ranged between 43% and 63% for the four risk of bias domains. A more recent publication year, trial registration, mentioning of CONsolidated Standards Of Reporting Trials-checklist, and a higher journal impact factor were consistently associated with a lower risk of QRPs. Conclusion: This comprehensive analysis provides an insight into indicators of QRPs. Researchers should be aware that certain characteristics of the author team and publication are associated with a higher risk of QRPs.
Original languageEnglish
Pages (from-to)23-32
Number of pages10
JournalJournal of clinical epidemiology
Volume154
Early online date2 Dec 2022
DOIs
Publication statusPublished - 1 Feb 2023

Keywords

  • Bias
  • Meta-research
  • Questionable research
  • RCT
  • Responsible research
  • Selective reporting

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