Quality of Reporting of Randomized Clinical Trials in Tai Chi Interventions—A Systematic Review

Jing-Yi Li · Yuan-Fen Zhang · Gordon Stephen Smith · Chuan-Jiang Xue · Luo Yan-nan · Wei-heng Chen +2 more

45 citations0/0 files storedEvidence-based Complementary and Alternative Medicine

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Meta-analysis and systematic reviews Statistical Methods in Clinical Trials Delphi Technique in Research

Abstract

Objectives. To evaluate the reporting quality of published randomized clinical trials (RCTs) in the Tai Chi literature following the publication of the CONSORT guidelines in 2001. Data Sources. The OVID MEDLINE and PUBMED databases. Review Methods. To survey the general characteristics of Tai Chi RCTs in the literature, we included any report if (i) it was an original report of the trial; (ii) its design was RCT; (iii) one of the treatments being tested was Tai Chi; and (iv) it was in English. In addition, we assessed the reporting quality of RCTs that were published between 2002 and 2007, using a modified CONSORT checklist of 40 items. The adequate description of Tai Chi interventions in these trials was examined against a 10-item checklist adapted from previous reviews. Results. The search yielded 31 Tai Chi RCTs published from 2002 to 2007 and only 11 for 1992-2001. Among trials published during 2002-2007, the most adequately reported criteria were related to background, participant eligibility and interpretation of the study results. Nonetheless, the most poorly reported items were associated with randomization allocation concealment, implementation of randomization and the definitions of period of recruitment and follow-up. In addition, only 23% of RCTs provided adequate details of Tai Chi intervention used in the trials. Conclusion. The findings in this review indicated that the reporting quality of Tai Chi intervention trials is sub-optimal. Substantial improvement is required to meet the CONSORT guidelines and allow assessment of the quality of evidence. We believe that not only investigators, but also journal editors, reviewers and funding agencies need to follow the CONSORT guidelines to improve the standards of research and strengthen the evidence base for Tai Chi and for complementary and alternative medicine.

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References

1996Assessing the quality of reports of randomized clinical trials: Is blinding necessary?1995Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials 2001The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials 2001The Revised CONSORT Statement for Reporting Randomized Trials: Explanation and Elaboration 1998Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses?1996Improving the quality of reporting of randomized controlled trials. The CONSORT statement 2001The CONSORT Statement: Revised Recommendations for Improving the Quality of Reports of Parallel-Group Randomized Trials 2008Extending the CONSORT Statement to Randomized Trials of Nonpharmacologic Treatment: Explanation and Elaboration

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