Introduction: The pragmatic design has received much attention in the field of acupuncture clinical trials because of insufficient information about the specific effects of acupuncture. However, pragmatism in pragmatic acupuncture trials has not been comprehensively investigated. The PRECIS-2 tool was developed and has been gradually used to design pragmatic trials; therefore, we will apply the PRECIS-2 tool to investigate the pragmatism of pragmatic acupuncture trials in this study.
Methods And Analysis: In this systematic review, self-declared 'pragmatic' randomised clinical trials (RCTs) or protocols of self-declared 'pragmatic' RCTs investigating acupuncture will be searched and included to be reviewed. MEDLINE, EMBASE, the Cochrane Central Register for Controlled Trials, CINAHL, Allied and Complementary Medicine Database (AMED), China National Knowledge Infrastructure, VIP, WANFANG, Taiwan Periodical Literature Database, KoreaMed, KMbase, Research Information Service System, Oriental Medicine Advanced Searching Integrated System, CiNii and ClinicalTrials.gov for registered trials will be electronically searched from inception to March 2022. Protocols of published RCTs or secondary analysis of RCTs will be excluded. Additionally, no language restriction will be applied. Two authors will independently extract descriptive information and assess the pragmatism of pragmatic acupuncture trials using nine domains of the PRECIS-2 tool and one additional domain-control. Descriptive statistics will be reported for each domain and the overall score, and a one-sample t-test will be used to statistically analyse whether the score is greater than 3 (equally pragmatic and explanatory). The wheel diagrams of the nine domains of the PRECIS-2 tool will be used to demonstrate the pragmatism of the included studies.
Ethics And Dissemination: Ethical approval is not warranted as this study will obtain data from previously reported articles. The results will be disseminated through peer-reviewed journals and conferences.
Prospero Registration Number: CRD42021236975.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9006803 | PMC |
http://dx.doi.org/10.1136/bmjopen-2021-052861 | DOI Listing |
BMJ Open
December 2024
Centre for Surgical Research, University of Bristol, Bristol, UK.
PLoS One
January 2025
Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, United States of America.
Background: Randomized controlled trials (RCTs) that evaluate the efficacy of an intervention remain underutilized in community-based environmental health research. RCTs that use a pragmatic design emphasize the effectiveness of interventions in complex, real world settings. Pragmatic trials may be especially relevant when community-based interventions address social and environmental determinants that threaten health equity.
View Article and Find Full Text PDFBMC Med Res Methodol
November 2024
Iberoamerican Cochrane Centre - Biomedical Research Institute Sant Pau, IIB Sant Pau, Barcelona, Spain.
Background: Pragmatic randomized controlled trials are getting more interest to improve trials' external validity. This study aimed to assess how pragmatic the design of the self-labelled pragmatic randomised controlled trials in the manual therapy field is.
Methods: We searched MEDLINE and the Cochrane Central Register of Controlled Trials for self-labelled pragmatic randomised controlled trials in the manual therapy field until January 2024 were included.
Trials
September 2024
Department of Internal Medicine and Nature-Based Therapies, Immanuel Hospital Berlin, Berlin, 14109, Germany.
BJS Open
September 2024
Leeds Institute of Emergency General Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Introduction: There is a lack of consensus on the management of inguinal hernia with limited symptoms. To address this issue a systematic review of existing randomized clinical trials (RCTs) was performed to critically appraise all existing data on asymptomatic hernia management, focusing on generalizability.
Methods: A scoping review to identify all RCTs comparing surgical and conservative management of patients with inguinal hernias was undertaken.
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