Kujeka kuri nani kunodiwa pamajenari ezvokurapa anokwikwidza zvido, nyanzvi dzinodaro

Kujeka kuri nani kunodiwa pamajenari ezvokurapa anokwikwidza zvido, nyanzvi dzinodaro
Kujeka kuri nani kunodiwa pamajenari ezvokurapa anokwikwidza zvido, nyanzvi dzinodaro
Anonim

Mapepanhau anofanirwa kugadzira mitemo yekubata zvishuwo zvisingadzivisike zvinokwikwidza zvinomuka kana vachiburitsa mapepa anogona kuvaunzira mari yekudhinda patsva kana kuwedzera maitiro avo. Iyi ndiyo mhedziso yechinyorwa chekutsvagisa chakaitwa naAndreas Lundh uye vaanoshanda navo kubva kuNordic Cochrane Center yakabudiswa mumavhiki ano PLoS Medicine. Maonero anofambirana naHarvey Marcovitch, aimbove sachigaro weKomiti Yezvekuburitswa Kwetsika (COPE), uye chinyorwa kubva kuPLoS Medicine Editors chinokurukura nyaya iyi zvakare, vachigumisa kuti mapepanhau anofanirwa kushandisa dhigirii rakafanana rekubuda pachena kwavanoda kubva kuvanyori, kusvika. pachavo.

Chinyorwa ichi chakaongorora zviyedzo zvekiriniki zvakaburitswa mumagazini matanhatu ezvekurapa (kwete kusanganisira PLoS Medicine asi kusanganisira New England Journal of Medicine (NEJM), British Medical Journal (BMJ), The Lancet, Annals of Internal Medicine, Archives. of Internal Medicine, uye JAMA,) pamusoro penguva mbiri, 1996-1997 uye 2005-2006, uye yakaongorora kuti ndeipi yekuedza yakatsigirwa zvachose, chikamu, kana kuti kwete zvachose neindasitiri. Vakabva vashandisa online academic citation indekisi yeWebhu yeScience kuverenga fungidziro yezvinokonzeresa pajenari rega rega ra1998 na2007 uye vakaverenga mashandiro eRCTs akatsikiswa pamhedzisiro yacho.

Chikamu cheRCTs nerutsigiro rweindasitiri yega rwakasiyana pakati pemagazini. 32% yeRCTs yakaburitswa muNEJM mukati memakore maviri ese aive nerutsigiro rweindasitiri nepo 7% chete yeRCTs yakaburitswa muBMJ muna 2005-2006 yaive nerutsigiro rweindasitiri. Miedzo inotsigirwa neindasitiri yaiwanzotaurwa kupfuura RCTs nemamwe marudzi ekutsigirwa; kuregera maRCT anotsigirwa neindasitiri kubva pamhedzisiro factor calculations kwakadzikira ese anofungidzirwa enhau emhedzisiro zvinhu.Semuyenzaniso, kusiya maRCT ese ane indasitiri kana rutsigiro rwakasanganiswa kwakadzikira 2007 BMJ neNEJM maitiro ne1% ne15%, zvichiteerana.

Pakupedzisira, vaongorori vakabvunza Mupepeti wejenari yega yega nezve mari yejenari kubva kumaindasitiri masosi. Kune BMJ neLancet, iwo ega majenari akapa ruzivo urwu zvakananga, mari kubva mukutengesa kudhindwa zvakare yaive 3% uye 41%, zvichiteerana, yemari yese muna 2005-2006.

Vanyori vanogumisa kuti "mapepanhau [anofanira] kutevedzera mitemo yakafanana ine chekuita nekukonana kwezvido, izvo zvavanoda kubva kuvanyori vawo, uye kuti kwakabva uye kuwanda kwemari zvinoburitswa pachena kuti zvinhu zvive pachena." Achitaura nezvenyaya yacho, Harvey Marcovitch anobvumirana nazvo, achiti: “Vapepeti vemagazini vakapedza nguva yakawanda nesimba vachinyomba mabatiro avangaita zvinokwikwidzana nevanyori nevanoongorora. Ivo zvino vanofanira kuisa pfungwa dzavo pachavo nedzevashandirwi vavo.”

Muchinyorwa chinoperekedza "Kuwedzera Basa uye Kujeka muNguva Yekuwedzera Kuonekwa" vePLoS Medicine Editors, vakatumira mari yejenari ravo pane inokwikwidza peji rejenari, vanogumisa kuti "Indaneti yakurudzira shanduko yepfungwa mukuparadzira ruzivo rwezvekurapa.Mapepanhau kusvika pari zvino ave achigamuchirwa semamwe manyuko anovimbwa nawo emashoko. Zvakajeka, zvisinei, kuti kuitira kuchengetedza kuvimba ikoko, vatori venhau nevapepeti vanofanirwa kuenderera mberi vachifunga zvese zvinonetsa zvinogona kumuka mukutsikisa nekuisa nzira dzakasimba, dzakajeka dzekugadzirisa nyonganiso dzese dzinogona kumuka, kunyangwe avo vevanyori, vapepeti, kana majenari pachavo.''

Musoro Wakakurumbira