Cluster Randomised Trials in Cochrane Reviews: Evaluation of Methodological and Reporting Practice

Ref ID 708
First Author M. Richardson
Journal PLOS ONE
Year Of Publishing 2016
URL https://dx.doi.org/10.1371/journal.pone.0151818
Keywords • Cochrane
• General medical
• Risk of bias
• Error
Problem(s) • Flawed risk of bias undertaken
• Inflexible methods to complex questions
• Errors in effect estimate calculations or data synthesis
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country Germany
Checklists • MECIR
Aim To assess the methodological and reporting practice of Cochrane reviews published in 2013 that included cluster randomised controlled trials against criteria developed from existing guidance.
Level of Investigation Descriptive
Summary of Findings Only 56% reviews identified that cluster-RCTs were eligible for inclusion in the eligibility criteria. For reporting cluster-RCTs, only 24% reviews reported the method of cluster adjustment. For assessing risk of bias, only one review assessed all five cluster-RCT-specific risk-of bias criteria. For analysing cluster-RCTs, of the 27 reviews that presented unadjusted data, only 33% provided a warning that confidence intervals may be artificially narrow. Of the 34 reviews that reported data from unadjusted cluster-RCTs, only 38% excluded the unadjusted results from the meta-analyses.
Number of systematic reviews included 50
Number of eligible systematic reviews assessed 276
Treatment impacted No
Treatment impacted description
Interpretation impacted Not Applicable
Interpretation impacted description