Objective: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement is a checklist and has been developed to improve the reporting of observational studies. The design effect for observational studies is an important factor in sample size determinations however is not considered under STROBE. In this study, it is aimed to evaluate compliance with STROBE in the articles reviewed in MEDLINE and highlight the necessity of thinking out design effect. Material and Methods: A database search has been performed on the observational studies n=342, that are free full text, written in English and published in MEDLINE. The frequency of compliance with STROBE was examined and an auxiliary review with respect to the design effect was done by one reviewer. Results: 342 articles evaluated, 224 (65.5%) were cross-sectional and 118 (34.5%) cohort studies. The best compliance (above 90%) was for items 1(b), 2 and 14(a) while the worst fit (under 20%) was for items 12(d), 13(c) and 16(c). In n=6 (1.8%) cross-sectional studies design effect was reported. Conclusion: In terms of the quality of the reporting of observational trials, current observational studies in MEDLINE could still benefit from increased reporting of methodologic details including the reporting design effect, sample size determinations, methods taking account of sampling strategy for cross-sectional studies, power analyses and consideration of potential bias. For items under methods section (items 4-12) compliance is lower than other items. Discarding design effect has a potential of source of bias. Authors should report the design effect and can also be consider within the items 4 or 9 or 10.
Keywords: Observational study; STROBE; sample size; design effect; MEDLINE
Amaç: STROBE (STrengthening the Reporting of OBservational studies in Epidemiology), gözlemsel araştırma türündeki makalelerin hazırlanması sırasında yazılması gereken bölümlere ışık tutan kontrol listesi niteliğinde bir rehberdir. Gözlemsel çalışmalar için tasarım etkisi, örneklem büyüklüğünün belirlenmesinde önemli bir faktördür: Ancak STROBE kapsamında ele alınmamıştır. Bu çalışmada MEDLINE' veritabanında incelenen makalelerde STROBE maddelerine uyumu değerlendirmek, tasarım etkisinin değerlendirilmesine olan gereksinimi vurgulamak ve tasarım etkisinin kullanım sıklığını gözden geçirmek amaçlanmaktadır. Gereç ve Yöntemler: MEDLINE'nın web arayüzü olan PubMed üzerinden tam metine bağlantı verilmiş ve dili İngilizce olan kohort ve kesitsel araştırma türü niteliğindeki makalelerin tamamı çalışmanın evrenini oluşturmaktadır. STROBE ile uyum incelenmiş ve tasarım etkisinin raporlanması ile ilgili bir ek değerlendirme yapılmıştır. Bulgular: Değerlendirilen n=342 makalenin, n=224'ü (65.5%) kesitsel ve n=118'i (34.5%) kohort çalışmasıdır. Uyumun en yüksek olduğu (90%'ın üzerinde) maddeler 1 (b), 2 ve 14 (a), en düşük olduğu (20%'nin altında) maddeler ise 12 (d), 13 (c) ve 16 (c) olduğu gözlenmiştir. Ayrıca kesitsel çalışmada tasarım etkisinin dikkate alındığı makale n=6 (1,8%) oldukça azdır. Sonuç: MEDLINE'da gözlemsel çalışmaların raporlanma kalitesi bakımından, tasarım etkisinin raporlanması, örneklem büyüklüğü belirlenmesi, kesitsel çalışmalar için örnekleme stratejisini hesaba katan yöntemler, güç analizleri ve potansiyel yanlılık gibi metodolojik detayların rapor edilmesinden faydalanmaya devam etmelidir. Tasarım etkisinin "Gereç ve yöntemler" bölümündeki madde 4, 9 veya 10 kapsamında göz önünde bulundurmalıdır.
Anahtar Kelimeler: Gözlemsel çalışma; STROBE; örneklem büyüklüğü; tasarım etkisi; MEDLINE
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