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Table 1 How has trustworthiness in research evidence evolved?

From: “Trustworthiness,” confidence in estimated effects, and confidently translating research into clinical practice

 

Year

Obstacle

Source

P Values

2016

The P value is arbitrary and does not convey any evidence related to the effect size.

Yaddanapudi LN. The American Statistical Association statement on P-values explained. J Anaesthesiol Clin Pharmacol. 2016;32(4):421-3.

Estimates of Effect and Precision

2021

Assumptions are that the effect size and the variability of the effect are sufficient to attain confidence in estimating the treatment effect.

Elkins MR, Pinto RZ, Verhagen A, Grygorowicz M, Soderlund A, Guemann M, et al. Statistical inference through estimation: recommendations from the International Society of Physiotherapy Journal Editors. J Man Manip Ther. 2022;30(3):133-8.

Post-Randomization Biases in Research

2021

Post-randomization biases occur after data collection, and initial results are obtained.

Andrade C. HARKing, Cherry-Picking, P-Hacking, Fishing Expeditions, and Data Dredging and Mining as Questionable Research Practices. J Clin Psychiatry. 2021;82(1).

Post-Randomization Biases in RCTs

2021

Post-randomization biases cannot be ruled out in randomized clinical trials (RCTs) in International Society of Physiotherapy Journal Editors (ISPJE) member journals 64.5% of the time.

Riley SP, Swanson BT, Shaffer SM, Sawyer SF, Cleland JA. The Unknown Prevalence of Post-randomization Bias in 15 Physical Therapy Journals: A Methods Review. J Orthop Sports Phys Ther. 2021;51(11):542-50.

Post-Randomization Biases in SRs

2022

Post-randomization biases cannot be ruled out in RCTs within systematic reviews (SRs) in ISPJE member journals 8.9% of the time; 58.3% of the SRs included RCTs with unknown external validity; and 35% of the RCTs included in the SRs were low in methodological quality.

Riley SP, Swanson BT, Shaffer SM, Somma MJ, Flowers DW, Sawyer SF. Is the quality of systematic reviews influenced by prospective registration: a methods review of systematic musculoskeletal physical therapy reviews. J Man Manip Ther. 2022:1-14.