Sponsorship bias and quality of randomised controlled trials in veterinary medicine

Background: Randomised controlled trials (RCTs) are considered the gold standard form of evidence for assessing treatment efficacy, but many factors can influence their reliability including methodological quality, reporting quality and funding source. The aim of this study was to examine the relat...

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Main Authors: Wareham, Kathryn, Hyde, Robert, Grindlay, Douglas J.C., Brennan, Marnie L., Dean, Rachel S.
Format: Article
Published: BioMed Central 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/48212/
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author Wareham, Kathryn
Hyde, Robert
Grindlay, Douglas J.C.
Brennan, Marnie L.
Dean, Rachel S.
author_facet Wareham, Kathryn
Hyde, Robert
Grindlay, Douglas J.C.
Brennan, Marnie L.
Dean, Rachel S.
author_sort Wareham, Kathryn
building Nottingham Research Data Repository
collection Online Access
description Background: Randomised controlled trials (RCTs) are considered the gold standard form of evidence for assessing treatment efficacy, but many factors can influence their reliability including methodological quality, reporting quality and funding source. The aim of this study was to examine the relationship between funding source and positive outcome reporting in veterinary RCTs published in 2011 and to assess the risk of bias in the RCTs identified. Methods: A structured search of PubMed was used to identify feline, canine, equine, bovine and ovine clinical trials examining the efficacy of pharmaceutical interventions published in 2011. Funding source and outcomes were extracted from each RCT and an assessment of risk of bias made using the Cochrane risk of bias tool. Results: Literature searches returned 972 papers, with 86 papers (comprising 126 individual RCTs) included in the analysis. There was found to be a significantly higher proportion of positive outcomes reported in the pharmaceutical funding group (P) compared to the non-pharmaceutical (NP) and ‘no funding source stated’ (NF) groups (P = 56.9%, NP = 34.9%, NF = 29.1%, p < 0.05). A high proportion of trials had an unclear risk of bias across the five criteria examined. Conclusions: We found evidence that veterinary RCTs were more likely to report positive outcomes if they have pharmaceutical industry funding or involvement. Consistently poor reporting of trials, including non-identification of funding source, was found which hinders the use of the available evidence.
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spelling nottingham-482122020-05-04T19:00:37Z https://eprints.nottingham.ac.uk/48212/ Sponsorship bias and quality of randomised controlled trials in veterinary medicine Wareham, Kathryn Hyde, Robert Grindlay, Douglas J.C. Brennan, Marnie L. Dean, Rachel S. Background: Randomised controlled trials (RCTs) are considered the gold standard form of evidence for assessing treatment efficacy, but many factors can influence their reliability including methodological quality, reporting quality and funding source. The aim of this study was to examine the relationship between funding source and positive outcome reporting in veterinary RCTs published in 2011 and to assess the risk of bias in the RCTs identified. Methods: A structured search of PubMed was used to identify feline, canine, equine, bovine and ovine clinical trials examining the efficacy of pharmaceutical interventions published in 2011. Funding source and outcomes were extracted from each RCT and an assessment of risk of bias made using the Cochrane risk of bias tool. Results: Literature searches returned 972 papers, with 86 papers (comprising 126 individual RCTs) included in the analysis. There was found to be a significantly higher proportion of positive outcomes reported in the pharmaceutical funding group (P) compared to the non-pharmaceutical (NP) and ‘no funding source stated’ (NF) groups (P = 56.9%, NP = 34.9%, NF = 29.1%, p < 0.05). A high proportion of trials had an unclear risk of bias across the five criteria examined. Conclusions: We found evidence that veterinary RCTs were more likely to report positive outcomes if they have pharmaceutical industry funding or involvement. Consistently poor reporting of trials, including non-identification of funding source, was found which hinders the use of the available evidence. BioMed Central 2017-08-14 Article PeerReviewed Wareham, Kathryn, Hyde, Robert, Grindlay, Douglas J.C., Brennan, Marnie L. and Dean, Rachel S. (2017) Sponsorship bias and quality of randomised controlled trials in veterinary medicine. BMC Veterinary Research, 13 (234). pp. 1-10. ISSN 1746-6148 Clinical trials Study design and data analysis Evidence based medicine Risk of bias https://bmcvetres.biomedcentral.com/articles/10.1186/s12917-017-1146-9 doi:10.1186/s12917-017-1146-9 doi:10.1186/s12917-017-1146-9
spellingShingle Clinical trials
Study design and data analysis
Evidence based medicine
Risk of bias
Wareham, Kathryn
Hyde, Robert
Grindlay, Douglas J.C.
Brennan, Marnie L.
Dean, Rachel S.
Sponsorship bias and quality of randomised controlled trials in veterinary medicine
title Sponsorship bias and quality of randomised controlled trials in veterinary medicine
title_full Sponsorship bias and quality of randomised controlled trials in veterinary medicine
title_fullStr Sponsorship bias and quality of randomised controlled trials in veterinary medicine
title_full_unstemmed Sponsorship bias and quality of randomised controlled trials in veterinary medicine
title_short Sponsorship bias and quality of randomised controlled trials in veterinary medicine
title_sort sponsorship bias and quality of randomised controlled trials in veterinary medicine
topic Clinical trials
Study design and data analysis
Evidence based medicine
Risk of bias
url https://eprints.nottingham.ac.uk/48212/
https://eprints.nottingham.ac.uk/48212/
https://eprints.nottingham.ac.uk/48212/