The Composite Quality Score (CQS) as a trial appraisal tool: inter-rater reliability and rating time (CROSBI ID 299638)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Mickenautsch, Steffen ; Miletić, Ivana ; Rupf, Stefan ; Renteria, Jone ; Göstemeyer, Gerd
engleski
The Composite Quality Score (CQS) as a trial appraisal tool: inter-rater reliability and rating time
Objective: To establish the CQS inter-rater reliability and rating time and to compare both against that of the Jadad scale and Cochrane's Risk of Bias Tool (ROBT). Material and methods: Four independent raters rated 45 trial reports. The inter-rater reliability was established by use of the Brennan- Prediger coefficient (BPC). The coefficients were compared using the two-sample z- test. Secondary analysis included comparison of the inter-rater reliability of the randomization component of all tools, as well as of the allocation concealment component of the CQS to that of the ROBT. The mean rating time with standard deviation (SD) for each tool was determined using one-way repeated measures analysis of variance. Post hoc comparisons were made using the Tukey-Kramer adjustment for three pair-wise multiple comparisons. Results: The inter-rater reliability was significantly higher for the CQS (BPC, 95% CI: 0.95, 0.87-1.00) compared to Jadad (0.70, 0.58- 0.82) (adjusted p = 0.0005) and most components of ROBT. The mean (SD) time to complete the CQS (4.0 (1.0) min) did not differ significantly from that of the Jadad scale 4.8 (1.1) min (adjusted p = 0.11), but was significantly shorter compared to that of the ROBT 15.3 (5.9) min (adjusted p < 0.0001). Conclusions: The results suggest the CQS to be a very reliable and fast trial appraisal tool. Clinical relevance The higher the inter-rater reliability, the higher the probability that trial results reflect therapeutic truth. The CQS will need to take further bias sources into consideration, in order to increase its utility.
Clinical trial appraisal ; Composite quality score ; Inter-rater reliability ; Therapy trials
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Podaci o izdanju
25 (10)
2021.
6015-6023
objavljeno
1432-6981
1436-3771
10.1007/s00784-021-04099-w