You are on page 1of 8

PEERREVIEWED

How to Evaluate a Scientific


Research Article
Dr Navneet Gupta BSc (Hons) PhD MCOptom FBCLA
you can identify the relevant papers,
The world of scientific research articles and journals can be a daunting by using title and/or author name
prospect for any new researcher, let alone the practising eye care professional. searches. Keyword searches of the
database(s) will also be essential to help
However, there is a growing need to look at and evaluate published scientific
to locate articles written by unfamiliar
research, since this offers the primary source of answers for an ever-increasing but equally important authors.
trend towards providing evidence-based healthcare.1, 2 Whilst there are several Furthermore, searching for articles that
resources that are available to the writer of research articles,3-7 few exist to have been published in more recent
years (e.g. within the past 5 years)
help the non-expert reader to make adequate sense of published research.8, 9 will ensure that you will be reading
Furthermore, although the vast majority of research articles are now subjected the most up-to-date information.
03/09/10 CLINICAL

to a peer review process, some research might not meet expected standards, However, certain “landmark” papers
will remain justifiably relevant even
perhaps due to improper conduct (e.g. plagiarism, falsification, fabrication)10
decades after first publication; for
or commercial/outside pressure. This article provides an overview of how example, the article written by Holden
to evaluate a research article, with the hope that eye care professionals & Mertz13 describing the critical oxygen
levels required to avoid corneal
will gain the necessary basic understanding of how to extract relevant
oedema in contact lens wear was first
scientific information as part of their ongoing professional development. published in 1984 but has been cited
over 300 times since and is referred
There are many types of articles that databases representing a worldwide to for clinical relevance even today.
are published in scientific journals collaboration, which provide healthcare
but these generally take one of two information for the busy practitioner), Abstracts
forms. Literature-based articles review PubMed Central (U.S. National Aside from the obvious indications of
the research that has been conducted Library of Medicine and the National relevance that can be obtained from the
in a particular area or topic, whereas Institutes of Health, Bethesda, USA), title, the article’s abstract is perhaps of
experimental articles describe the ScienceDirect (Elsevier, Amsterdam, greater importance at this stage, and
findings of a practical study, clinical Holland), and Ingenta (Publishing most journal database searches will
trial, or survey, and typically report Technology Plc., UK and USA) amongst provide free access to this. The abstract
the findings using an “Introduction others. Databases such as Turning provides an overview of the research
/ Methods / Results / Discussion” Research Into Practice (TRIP) are very article, and again usually follows the
or “IMRAD” structure.11, 12 Although relevant for evidence-based healthcare, IMRAD structure. This can be a good
literature-based articles are an excellent as they focus on clinical evidence that place to start to get a general feel for the
starting point to gain an overview of is relevant to clinical practice. In fact, quality of the paper and research, as a
a topic, the latter type of article is simple searches on Google Scholar can cursory read should make the salient
perhaps more pertinent for contributing also be a very useful starting point, points of the research evident. The
to evidence-based healthcare. As as a list of individual articles will be abstract should be clear and concise
such, the present article concentrates provided and each will have links (many journals will automatically
on evaluating this type of paper. to other articles that have cited that stipulate a maximum word count
particular paper, allowing for branching of 250 or 300 words), and it should
out of your search. Likewise, searching display evidence that: (i) there was
Searching for Articles through journals that have titles such as a primary (and perhaps a secondary)
Finding the relevant articles is ‘Annual Reviews of …’ or ‘Advances in aim or “objective” to the research, (ii)
naturally the first step on the road to …’ will provide useful general review there was a logical method followed
evaluating and learning from scientific papers, whose bibliography can be used in performing the research, (iii) results
research. There are several searchable to branch out the search for articles. were obtained and were subjected
databases that collate research articles Knowing a little about the topic of to statistical analyses, and (iv) the
published in a myriad of journals; interest and being familiar with the author(s) drew conclusions directly
these include The Cochrane Library names of well-known researchers in the from the results of the study and that
(this comprises three, free, online field will go a long way to ensuring that these findings answered the primary
the same level of care will have been
applied to the actual study reported.
Readers should also be careful of
websites that may be cited as references,
as they may lack certain details and may
not have easily identifiable credentials.
It is also important to ensure that the
author(s) have provided an unbiased
review of the literature. Again, a look at
the references might give an indication
of this. For example, an author that
has predominantly cited his/her own
previous work might not be seen to be
accepting of other research published
in the area. Naturally though, a well-
seasoned researcher is likely to have
many publications in their research
area and it will be logical for them
to cite their own work. However, the
author(s) must display evidence that

03/09/10 CLINICAL
they are aware of other people’s work
too and that they have considered the
(and any secondary) objectives.14, 15 The Background implications of that work on their own.
An example of a good abstract is that The introduction or background to a Readers should also take the
written by Medeiros et al.16 for their scientific research article, even one that opportunity here to ensure that the
study investigating the relationship reports a clinical trial or experimental information provided in the literature
between intraocular pressure (IOP) and study, typically provides a brief review review fits with their own knowledge
progressive retinal nerve fibre layer of the literature on the topic in question. and understanding of the topic. If it does
(RNFL) loss in glaucoma. There is a This is aimed at explaining current not then one may question whether the
clearly defined goal of the study, which knowledge of the topic and helps lead author(s) are clear in their own minds
is evident from the title, with a brief the author(s) to propose the research about what it is they wish to achieve
description of the measurement of RNFL question that forms the focus of their in their research, or it may mean that
loss using a scanning laser polarimeter, study. It is important for the reader to the reader themselves perhaps lacks
in patients diagnosed with glaucoma; evaluate the extent of this review, to sufficient background knowledge,
their study revealed a significant loss in ensure that the author(s) have thoroughly in which case it is recommended
RNFL with increasing IOP, as supported researched the area, have displayed a that you read around the subject
by statistical analysis (significance, or sound understanding of the topic, and matter a little more first, e.g. from
“p” values, are reported), and the authors have obtained adequate support from books and literature review papers,
therefore conclude not only that IOP this to justify the need for the research before tackling the article further.
perhaps does cause structural damage reported.18 In turn the author(s) should
in glaucoma but that the scanning laser end with a clear objective for their The Methods & Materials
polarimeter technique is useful for research, whilst an insight as to the Although many would consider the
monitoring such patients.16 In contrast, novelty of the research can also be gained. outcomes of a study to be the most
the abstract written by Zimmerman et Readers should look at the articles important aspect of a research article,
al.,17 for their study evaluating the safety that the author(s) have referenced in the way in which the research was
and efficacy of Timolol in paediatric the introduction to ensure that they are conducted is of equal, and perhaps
glaucoma, is not very informative since up-to-date, relevant, and are expansive even of greater, importance. This is
there are no reports of the actual IOP enough to cover a wide variety of because one needs to be certain that
measurements and no evidence of any publications. A simple look at the the findings are based on a sound and
statistical analysis; unsurprisingly, no bibliography at the end of the article, accurate scientific study design; if the
clear conclusions are reported either. to see whether the titles bear any sort study was not performed accurately and
However, it must be borne in mind of resemblance to the point made in correctly, then in turn the results cannot
that such abstracts are very uncommon the text or not, will help the reader to be deemed to be accurate and correct.
today since most journals insist on a establish whether the author(s) have Indeed, the article in question may be
minimum level of detail and quality paid due care and attention to their expanding on a previous study that has
from authors. Having established this literature review. This will also serve to been conducted and, although not novel,
evidence of quality, the reader can confirm the author(s)’ knowledge and the article may therefore be reporting the
then delve into the main manuscript expertise in the area. If this is not the findings of a more rigorous study design.9
with a certain minimum assurance. case, then you cannot be certain that A fundamental requirement of the
PEERREVIEWED
methods section is that sufficient medication (treatment or placebo) treatment had been administered,
information and detail should be participants were taking; a third party in order to falsify an effect for the
provided, in a clear, logical, and not directly involved in the study omega-6 fatty acids treatment.
coherent manner, to allow for the entire was aware of and documented which In addition to the study design,
study to be replicated by others.19 groups and treatments participants readers also ought to ask themselves
It is important for readers to satisfy were assigned to, for later analysis. about whether the measurements made
themselves of this since it is the only This is an ideal approach for this were actually appropriate to the research
way that other people can conduct study since participants could not bias aim(s); below are some of the types of
similar investigations, in order to be their subjective opinions of dryness, questions readers should think about as
able to corroborate or disprove the and investigators could not bias their they read through the methods section:
findings reported. Other key questions objective assessments of the ocular • Could the author(s) have made different
that readers ought to ask themselves surface, based on knowledge of which measurements to the ones actually made?
whilst reading the methods section of
an article are briefly described below.
Study Design Description

The Study Design Group Comparison Parallel Groups Each test group begins the “treatment” at the same time
The reader should be satisfied that the but each test group will receive a different treatment.
design of the study was suitable for the Results will be analysed by comparing the groups.
research aim. There are several study
Paired Each test group begins the “treatment” at the same time
03/09/10 CLINICAL

designs that can be followed and the (Matched) but each test group will receive a different treatment. The
terminology used to describe these, Groups groups will be matched for specific factors such as “age”
which readers ought to familiarise and/or “gender” to rule out their influence on the results.
themselves with, is summarised
in Table 1. Although this relates to Within- A group of subjects will receive the “treatment(s)” and
experimental studies, as per the focus Participant results will be compared before the “treatment” to after
of this article, it should be borne in the “treatment”. This design uses subjects as self-controls,
mind that such designs may not be which minimises the influence of extraneous factors such
entirely appropriate for observational as intelligence, motivation and attention.

studies, which are experimental in Single-blind / Single-m asked Participants are not made aware of which “treatment” they
nature but offer less control since they are receiving. The investigators will be aware of which
are based on real-life events that occur “treatment” the participants have been assigned to.
naturally. For example, analysis of the
Double-blind / Double-masked Participants are not made aware of which “treatment”
relationship between vision and driving
they are receiving and neither are the investigators. An
accidents is only ethically acceptable if
independent third person/party will be aware of which
conducted retrospectively, by assessing
“treatment(s)” participants have been assigned to for later
vision standards of drivers involved in
analysis.
accidents as they occur naturally on
real roads; the alternative of conducting Crossover All subjects receive all of the “treatments”, as well as being
experimental trials using a driving assessed at the “no treatment” stage. “Treatments” will
simulator may offer more experimental be assigned randomly to participants and there will be a
control but they are not as realistic. “washout” phase between each “treatment” to ensure that
Note that some of these study designs they do not interact with each other. Comparisons are then
can be combined. For example, in their made between the “treatments” and “no treatment”, with
study investigating the effects of oral subjects being their own controls.
treatment with omega-6 fatty acids on
Placebo-controlled Subjects are separated into groups that receive the
subjective symptoms and ocular surface
“treatment(s)” and another that will receive a placebo. The
signs in patients with contact lens-
placebo will not be evident to participants, as it will appear,
associated dry eye, Kokke et al.20 used
in every possible way, to be the same as the “treatment(s)”.
a randomised, double-blind, placebo-
The placebo group acts as a control.
controlled design, whereby participants
received either evening primrose oil Randomised-controlled Participants are randomly assigned to the “treatment”
(containing omega-6 fatty acids – the group(s) or placebo group. All groups are then followed for
treatment) or a placebo (olive oil); the same specified time and the same measurements are
participants were randomly assigned conducted. All groups are matched for extraneous factors
to be in one of the two groups. Neither such as age and gender. This design is considered to be the
the participants could determine which “gold standard” of research study designs.

treatment they had received, since the


two tasted similar to each other, nor Table 1
were the investigators aware of which Different types of research study designs (adapted from Greenhalgh9)
• Are the techniques and equipment unwanted factors. For example, in their effect by statistical analyses, according
used valid for the research aim? study evaluating the performance of an to the differences they expect to
• Could the author(s) have used more ‘accommodating’ intraocular lens (IOL) observe; the expected “effect size” can
appropriate instruments/equipment? in an eye that received corneal refractive be estimated from clinical experience
• Were enough measurements taken surgery, Aslanides et al.24 recruited a or can be based on the findings of
to ensure accuracy of the results? patient that had previously received previous similar research in the area.26,
• Was the study conducted for photorefractive keratectomy (an 27
In essence, these calculations aim to
a long enough period of time? inclusion criterion) but had to ensure that ensure that the study is large enough
there was no other co-morbidity such as to detect a significantly real effect and
Ethical Approval & Consent age-related macular degeneration (AMD) also to ensure that no more subjects
An important requirement for all research or diabetic retinopathy (exclusion are recruited than necessary, so as not
studies is to ensure that ethical approval criteria), which would otherwise have to waste time and resources. Different
is obtained and that participants are influenced the visual outcome measures. statistical tests that are to be performed
recruited after full explanation of the When the author(s) follow sets of in the analysis will require different
procedures, possible side effects and inclusion and/or exclusion criteria, types of sample size estimation and
consequences of the study i.e. informed all of which should be clearly listed power analysis calculations to be done.
consent is attained. This is a pre- in the article, the reader can be sure It is beyond the scope of this article to
requisite for all research that involves that the author(s) have made sufficient describe each of these, but the interested
human participants. A common finding attempts to minimise systematic bias reader can find further information
in the study.9 Equally, the inclusion/

03/09/10 CLINICAL
is that the author(s) will have obtained in the excellent text by Cohen.28
exclusion criteria should not result in
ethical approval from their own
unrepresentative samples of participants
institutional review boards, although Statistical Analysis
being recruited, especially if the research
any study involving recruitment of Understanding statistics can be a very
is to be applicable to the general wider
participants from the National Health intimidating task even for those actually
population. For example, in their
Service (NHS), for example at hospitals conducting the research. However,
study investigating the prevalence of a
(as is commonly the case), must have readers need not be statisticians or
variety of visual impairments and eye
obtained ethics approval from the possess specialist mathematical skills
abnormalities in the Indian population
local NHS research ethics committee.21 in order to be able to evaluate the
in Oklahoma, USA, Lee et al.25
Looking for evidence of ethical statistical rigour of a research article.
necessarily included only participants
approval can assure the reader that The basic knowledge of statistical
of Indian origin and who were resident
an independent review panel has tests that readers should begin with is:
in this location, to gain a representative
scrutinised the research, before it was • Statistical tests are generally grouped
view of this demographic group, most
conducted, to ensure that the research into two categories. Parametric tests
likely for further comparisons to other
is necessary, adheres to safety protocols are used when data follow a normal
ethnic groups. If, however, the study’s
and will not involve any harm to distribution whilst non-parametric tests
aim were to evaluate the general
participants, and does not involve are used when data do not follow a normal
prevalence of visual impairments and
the use of unapproved/unlicensed distribution; the latter are considered to
eye abnormalities in Oklahoma, such
equipment/procedures. Indeed, it be less powerful than parametric tests,
an inclusion criterion of ethnicity
has been shown that research ethics but tend to be a safer option if a normal
would then not be appropriate.
committees frequently identify errors distribution cannot be assumed.29
As well as ensuring that a study has
in the study, particularly violations recruited the right type of participants, • Statistical tests involve hypothesis
in procedures, which highlights it is becoming increasingly important testing and the outcome is typically
the importance of independent to display evidence that the right a probability level or “p-value”,
review prior to implementation.22 number of participants has also been which indicates the likelihood that
Readers may commonly encounter recruited. The author(s) therefore need the difference observed will occur by
reference to the “Declaration of to present their calculations of “sample chance. Usually, the hypothesis being
Helsinki”, which is a highly revered size estimation” and “power analysis”, tested is that the there is no significant
document that governs conduct for which are usually conducted prior to the difference between the groups of
research ethics and which authors will actual study. These calculations carry “treatments” being assessed. Where a
often cite as being a guide that they two primary purposes, both of which go p-value of 0.05 (5%) or lower is obtained,
used for conducting their research.23 hand-in-hand since one will influence this indicates that there is a 5% (or less)
the other. Sample size estimation probability that the observed difference
Participants and Power calculations will allow the author(s) is due to chance i.e. it is significantly
The recruitment of participants for the to determine the minimum number likely that the difference is a real effect.
research study will typically follow sets of subjects required for their study. • If one variable is expected to be higher
of inclusion and/or exclusion criteria. Consequently, power analysis will then or lower than another, this requires
These are put in place to ensure that allow the author(s) to determine whether the use of a two-tailed test. Where a
the right types of “subjects/patients” are the size of the study (i.e. the number of difference in one direction only is
recruited, to minimise the influence of subjects) is large enough to detect a real expected then a one-tailed test is used.30
PEERREVIEWED
For example, it might be expected
that IOP is only higher in patients
with glaucoma compared to those
without, in which case a one-tailed
statistical comparison can be made.
Equipped with this knowledge, there
are then really only two important
questions that a reader needs to ask
about the research being evaluated: (a)
were any statistical analyses conducted,
and (b) were the correct statistical tests
applied. These questions are important
since statistical analysis is the only
method available for assessing whether
any changes or differences observed in
the data are actually meaningful, whilst
the application of incorrect statistical
analyses will lead to incorrect and/or
irrelevant conclusions being drawn.31
The reader does not need to know in-
03/09/10 CLINICAL

depth details of all statistical tests in


their entirety, but you should at least
understand the nature and purpose of
commonly encountered statistical tests,
in order to evaluate the appropriateness of
the methods used by the author(s). Table
comparisons are highlighted in the tomography (OCT), was significantly
2 can be a useful basic guide to refer to.
text, with the results (p-values) of the different with different types of gas
statistical analyses stated too. Notable permeable and soft contact lenses.
The Results Section insignificant findings, for example those Of importance is for the reader
The results of the research are perhaps that were not expected, should also be to ensure that the results described
the most interesting part of an article, highlighted, and again the appropriate fit with the methods previously
as it is here that the reader will learn statistical p-values should be shown. detailed in the article and that
about the outcomes of the research. The Statistical analysis of more than two they are relevant to answering the
section should begin with a description “treatments” (i.e. any variant of ANOVA proposed research objective(s).
of the demographics of the participants tests) that yield significant results
recruited, and should include at should be followed by post hoc analysis,
least the following information which aims to identify the source of the The Discussion & Conclusions
in order to display the author(s)’ significant difference. There are several Having displayed the results of their
success at achieving the earlier power techniques that can be applied here, research, where the author(s) show what
analyses and sample size estimations: including the Bonferroni correction39 they found in their study, they will then
• Total number of participants recruited (originally described by Holm40) go on to discuss what their findings
• Mean age of participants ± Tukey’s Honestly Significant Difference actually mean.9 Readers should ensure
standard deviation, and range (HSD),41 and Scheffe’s Test.42 It is not that the author(s) have interpreted
(maximum and minimum ages) the intention of this article to describe the results of the study correctly, by
• Proportion (and numbers) of these tests in detail but their primary referring back to the results section of
males and females recruited function is to effectively conduct pair- the article and asking themselves if they
• Mean refractive error ± wise comparisons of all “treatments” agree with the statements presented.
standard deviation (usually for to each other, to assess for significant Highly specialised knowledge is not
all optometry-related studies) differences, but by minimising the necessarily required here on the readers’
Authors can use a wide variety of risk of a Type 1 statistical error (i.e. part, with much of the evaluation
techniques to display the results, the rejecting the null hypothesis when it being based on common sense – do
most common being tables and graphs. is in fact true, thus failing to detect a the points made by the author(s) fit
A brief description of the results should real effect). The interested reader can logically with what has been presented
also be provided in the text, with the most find further information from statistics in the article so far and do they make
important trends or findings highlighted. texts such as that by Hinton.43 For sense based on existing knowledge?
It is typical for mean values to be example, Wang et al.44 applied Tukey’s In particular, the author(s) should have
reported along with standard deviations HSD test to determine whether pre- offered explanations for the significant
(indicating the spread of data). It is also and post-lens tear film thickness, findings of the study, with respect to
important that all statistically significant as measured by optical coherence existing knowledge, and other work
Parametric Test Equivalent Non- Purpose Example
Parametric Test

Unpaired (or Independent-Samples) Mann-Whitney To compare the means of two unrelated samples Comparison of the blink rate in patients with dry
T-Test U-Test of data drawn from one population eye and those with “normal” eyes32

Paired (or One-Sample) T-Test Wilcoxon Matched- To compare the means of two sets of data, both of Comparison of the symptoms of patients with
pairs (or Signed- which were measured on a single sample dry eye in the morning to in the evening33
Rank) Test

One-way Analysis of Variance Kruskall-Wallis Test A generalisation of the T-test (or non-parametric To determine the effect of different types of
(ANOVA) (F-Test) equivalent) for a study design where there are refractive error (emmetropia, myopia and
more than two “treatment” groups hyperopia) on visual fields test thresholds34

Two-way Analysis of Variance Friedman’s ANOVA A generalisation of the T-test (or non-parametric To assess corneal oxygen uptake with different
(ANOVA) equivalent) for a study design where there are hybrid contact lenses and at different corneal
more than two “treatment” groups and there are locations35

03/09/10 CLINICAL
two variables

N/A Chi-squared (χ2) To test the null hypothesis that there is no Comparison of demographics (e.g. gender and
Test significant difference in the proportions of each occupation) of patients selecting contact lenses
variable in a sample to those selecting refractive surgery36

Product Moment Correlation Spearman’s To assess the strength of a relationship or Comparison of how well IOP measured using
Coefficient (Pearson’s r) Rank Correlation association between two variables non-contact tonometry relates to IOP measured
Coefficient (σ)
using Goldmann applanation tonometry37

Linear Regression N/A To describe the numerical relationship between Prediction of refractive error from ocular
two variables, to allow one variable to be predicted biometry e.g. axial length38
from the other

Table 2
Examples of commonly encountered parametric and non-parametric statistical tests in scientific research (N/A = Not Applicable) (adapted from Greenhalgh9)

published in the literature should have field in general. This is certainly the flaws were unavoidable, the reader
been referenced in support. Equally, vital for evidence-based healthcare, can take some level of satisfaction
the authors ought to have explained, so that the uptake by clinicians can with the results, whilst avoidable
or at least suggested possible reasons be improved and perhaps necessary errors will lead readers to question
for, any unexpected significant changes to clinical practice made. the thoroughness of the study.
and/or insignificant findings of the Furthermore, this discussion should Readers should take the opportunity
study; for example, this may have then lead to the proposition for further to assess the thoroughness of the
been due to an inadequate study research that could be conducted, discussion by devising their own list of
design (e.g. an inadequate sample to confirm the findings and / or to key points from the results section of
size), unforeseen circumstances, enhance knowledge further. Critical the article. Based on this, the reader can
or an unavoidable source of bias. self-analysis of the study is important then determine whether the authors
Of importance is for the author(s) here, since the author(s) should have missed any important findings
to have discussed the implications have evaluated the study design and or if they have failed to acknowledge
of their findings in relation to the discussed any flaws that might have or explain an important result.
impact on clinical practice and the impacted on the findings. Of course, if Indeed, this can then help the reader
PEERREVIEWED
to evaluate the conclusions of the that had to be corrected as part of the and types of scientific papers.
study. Readers should ensure that the peer review process (although this Singapore Med J 2008; 49:522-525
authors have drawn their conclusions could also indicate that the reviewers 12. Sollaci LB, Pereira MG.
directly from the results of the study took a long time to review the article!). The introduction, methods,
rather than offer mere speculation or Equipped with these basic skills and results, and discussion (IMRAD)
opinions that have no foundation on knowledge, it is hoped that you can now structure: a fifty-year survey. J
what has been presented in the article; approach the world of scientific articles Med Libr Assoc 2004; 92:364-367
furthermore, the conclusions should and journals with more confidence. 13. Holden BA, Mertz GW. Critical
have answered the primary (and any oxygen levels to avoid corneal
secondary) objectives of the study.14, About the Author edema for daily and extended wear
15
If this is not the case, there is clear Dr Navneet Gupta is an Optometrist and contact lenses. Invest Ophthalmol
evidence that the author(s) have not Clinical Editor for Optometry Today. Vis Sci 1984; 25:1161-1167
successfully completed their research He has a PhD in optometry and has 14. Alexandrov AV, Hennerici
and this will hinder the uptake of written and peer reviewed scientific MG. Writing good abstracts.
their findings into clinical practice.9 research articles for journals including Cerebrovasc Dis 2007; 23:256-259
Journal of Cataract & Refractive 15. Krasner D, Van Rijswijk
Some General Pointers Surgery, Contact Lens and Anterior L. Research & writing basics:
(a) A poor writing style of the author(s) Eye, and Optometry & Vision Science. elements of the abstract. Ostomy
can hinder the reader’s understanding Wound Manage 1995; 41:14, 16-17
03/09/10 CLINICAL

of the paper and so it is perhaps References 16. Medeiros FA, Alencar LM,
advisable for you to look at the results 1. Shamanna BR, Nirmalan PK. Zangwill LM, Sample PA, Weinreb
and to interpret them yourself first, and Evidence-based medicine in eye care RN. The Relationship between
then look at whether your interpretation - relevant research to inform practice! intraocular pressure and progressive
matches that of the authors. Indian J Ophthalmol 2003; 51:2-3 retinal nerve fiber layer loss
(b) Whilst reading through an article, 2. Coleman AL. Applying evidence- in glaucoma. Ophthalmology
always look-up any words or phrases based medicine in ophthalmic practice. 2009; 116:1125-1133 e1121-1123
that aren’t understood, and write down Am J Ophthalmol 2002; 134:599-601 17. Zimmerman TJ, Kooner KS,
the definitions for future reference. 3. McGhee CN, Gilhotra AK. Morgan KS. Safety and efficacy of
(c) Always underline or highlight key Ophthalmology and vision science timolol in pediatric glaucoma. Surv
phrases, statements or findings in the research: Part 3: avoiding writer’s Ophthalmol 1983; 28 Suppl:262-264
article. This can be a really useful tool block - understanding the ABCs of 18. Beitz JM. Writing the researchable
if you need to come back to the article a good research paper. J Cataract question. J Wound Ostomy
and refresh yourself of the key points Refract Surg 2005; 31:2413-2419 Continence Nurs 2006; 33:122-124
with a cursory read at a later date. 4. Peh WC, Ng KH. Preparing 19. Ng KH, Peh WC. Writing
(d) Always ask and raise questions a manuscript for submission. the materials and methods.
as you go along, and write them Singapore Med J 2009; 50:759-761 Singapore Med J 2008; 49:856-858
down. Critiquing the article as you 5. Setiati S, Harimurti K. Writing 20. Kokke KH, Morris JA, Lawrenson
go along will allow you evaluate the for scientific medical manuscript: JG. Oral omega-6 essential fatty
later sections based on questions a guide for preparing manuscript acid treatment in contact lens
raised in earlier parts; the more submitted to biomedical journals. associated dry eye. Cont Lens
questions you raise, the more Acta Med Indones 2007; 39:50-55 Anterior Eye 2008; 31:141-146
questionable the research might be. 6. Day RA, Gastel B. How to write 21. Smajdor A, Sydes MR, Gelling L,
(e) Always look at the acknowledgements and publish a scientific paper. 6th ed. Wilkinson M. Applying for ethical
section of the article. It is here that the 2006: Cambridge University Press. approval for research in the United
author(s) will highlight any sources 7. Gilgun JF. “Grab” and good Kingdom. BMJ 2009; 339:b4013
of funding or donations of equipment science: writing up the results 22. Angell E, Dixon-Woods M. Do
for the study and readers should look of qualitative research. Qual research ethics committees identify
for signs of whether the results were Health Res 2005; 15:256-262 process errors in applications for ethical
biased towards any supporting bodies. 8. Mansfield L. The reading, writing, approval? J Med Ethics 2009; 35:130-132
If this is the case, one may question and arithmetic of the medical 23. Goodyear MD, Krleza-Jeric K,
the independence of the research. literature, part 3: critical appraisal Lemmens T. The Declaration of
(f) Take a look at the date of submission of primary research. Ann Allergy Helsinki. BMJ 2007; 335:624-625
of the article and compare this to the Asthma Immunol 2006; 96:7-15 24. Aslanides M, Plainis S, Kumar
date of acceptance (both are usually 9. Greenhalgh T. How to Read a Paper: V, Ginis H. Phacoemulsification and
printed on the article), as this can give The Basics of Evidence-Based Medicine. implantation of an accommodating IOL
an indication of the quality of the work. 3rd ed. 2006: Blackwell Publishing. after PRK. J Refract Surg 2006; 22:106-108
A large time gap might suggest that a 10. Maurer JJ. The proper conduct 25. Lee ET, Russell D, Morris T,
poor quality manuscript was originally of research. Avian Dis 2007; 51:1-7 Warn A, Kingsley R, Ogola G. Visual
submitted, with many flaws or errors 11. Peh WC, Ng KH. Basic structure impairment and eye abnormalities
in Oklahoma Indians. Arch Bradley A, Wilkinson JA. Blinking Physiol Opt 2009; 29:182-188
Ophthalmol 2005; 123:1699-1704 and tear break-up during four visual 38. Mallen EA, Gammoh Y, Al-
26. Bartko JJ, Pulver AE, Carpenter tasks. Optom Vis Sci 2009; 86:E106-114 Bdour M, Sayegh FN. Refractive
WT, Jr. The power of analysis: 33. Begley CG, Caffery B, Nichols error and ocular biometry in
statistical perspectives. Part 2. KK, Chalmers R. Responses of Jordanian adults. Ophthalmic
Psychiatry Res 1988; 23:301-309 contact lens wearers to a dry eye Physiol Opt 2005; 25:302-309
27. Lachin JM. Introduction to survey. Optom Vis Sci 2000; 77:40-46 39. Bland JM, Altman DG. Multiple
sample size determination and 34. Ramesh SV, George R, Soni PM, significance tests: the Bonferroni
power analysis for clinical trials. Palaniappan L, Raju P, Paul PG, method. BMJ 1995; 310:170
Control Clin Trials 1981; 2:93-113 Ramsathish S, Vijaya L. Population 40. Holm S. A simple sequentially
28. Cohen J. Statistical Power Analysis norms for frequency doubling perimetry rejective multiple test procedure.
for the Behavioural Sciences. 2nd ed. with uncorrected refractive error. Scand J Stat 1979; 6:65-70
1988, Hillsdale, New Jersey: Lawrence Optom Vis Sci 2007; 84:496-504 41.Tukey JW. Comparing individual
Erlbaum Associates, Inc. Publishers. 35. Pilskalns B, Fink BA, Hill RM. means in the analysis of variance.
29. Armstrong RA, Eperjesi F. Oxygen demands with hybrid contact Biometrics 1949; 5:99-114
The use of data analysis methods: lenses. Optom Vis Sci 2007; 84:334-342 42. Scheffe H. A method for judging
basic concepts for optometrists. 36. Gupta N, Naroo SA. Factors influencing all contrasts in the analysis of
Optometry Today 2000; 40:36-40 patient choice of refractive surgery or variance. Biometrika 1953; 40:87-104
30. Armstrong RA, Eperjesi F. Data contact lenses and choice of centre. 43. Hinton PR. Statistics Explained.

03/09/10 CLINICAL
analysis methods in optometry: is there Cont Lens Anterior Eye 2006; 29:17-23 2nd ed. 2004, New York: Routledge.
a difference between two samples? Part 37. Babalola OE, Kehinde AV, 44. Wang J, Fonn D, Simpson TL,
2. Optometry Today 2001; 41:27-31 Iloegbunam AC, Akinbinu T, Moghalu Jones L. Pre-corneal
31. Baumgardner KR. A review of key C, Onuoha I. A comparison of the and pre- and post-lens
research design and statistical analysis Goldmann applanation and non-contact tear film thickness measured
issues. Oral Surg Oral Med Oral Pathol (Keeler Pulsair EasyEye) tonometers and indirectly with optical
Oral Radiol Endod 1997; 84:550-556 the effect of central corneal thickness in coherence tomography. Invest
32. Himebaugh NL, Begley CG, indigenous African eyes. Ophthalmic Ophthalmol Vis Sci 2003; 44:2524-2528

You might also like