Impact of searching clinical trial registries in systematic reviews of pharmaceutical treatments: methodological systematic review and reanalysis of meta-analyses

Ref ID 458
First Author M. Baudard
Journal BMJ
Year Of Publishing 2017
URL https://www.bmj.com/content/bmj/356/bmj.j448.full.pdf
Keywords • Grey literature
• Pharmacological
Problem(s) • Lack of supplementary searches beyond databases
Article Type Empirical
Article Subtype Meta-epidemiological analysis
First Author Country France
Aim To assess the impact of searching clinical trial registries in systematic reviews of pharmaceutical treatments that include meta-analyses published in MEDLINE between June 2014 and January 2015. When additional data were retrieved, two independent researchers reanalysed meta-analyses and calculated the weight of the additional trials and the change in summary statistics by comparison with the original meta-analysis.
Level of Investigation Descriptive
Summary of Findings 52% of included reviews did not report a search of trial registries. For a subset of 95 systematic reviews, 43% were found to have additional data from 122 additional randomised controlled trials when searches were performed. The change in summary statistics ranged from 0% to 29% and was greater than 10% for five of 14 systematic reviews and greater than 20% for two. However, none of the changes to summary effect estimates led to a qualitative change in the interpretation of the results once the new trials were added.
Number of systematic reviews included 223
Number of eligible systematic reviews assessed 2249
Treatment impacted Yes
Treatment impacted description
Interpretation impacted No
Interpretation impacted description