Professional Documents
Culture Documents
7 Consort
7 Consort
Standards of
Reporting Trials
(CONSORT)
Yeni Mahwati
April 2023
“The whole of medicine depends on the transparent
reporting of clinical trials.”
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Background
• Well designed and properly executed randomised controlled trials
(RCTs) provide the most reliable evidence on the efficacy of
healthcare interventions, but trials with inadequate methods are
associated with bias, especially exaggerated treatment effects.
• Biased results from poorly designed and reported trials can mislead
decision making in health care at all levels, from treatment decisions
for a patient to formulation of national public health policies.
• Critical appraisal of the quality of clinical trials is possible only if the
design, conduct, and analysis of RCTs are thoroughly and
accurately described in the report.
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Background
• The Consolidated Standards of
Reporting Trials (CONSORT) is a
guidance for authors reporting a
randomized controlled trial (RCT).
• Such trials when appropriately
designed, conducted, and reported
represent the gold standard in
evaluating healthcare interventions.
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CONSORT 2010 STATEMENT 1
Is designed to elicit clear and complete
information on RCTs.
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It comprises explicit text, a 25-item checklist
(Table), and a flow diagram (Figure).
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• focuses on the most common design type,
individually randomized two-group parallel
trials.
• can be found through the CONSORT Web
site (www.consortstatement.org)
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CONSORT 2010
Checklist
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Figure
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Title and Abstract
1a. Title
Identification as a randomised trial
in the title.
“Smoking reduction with oral nicotine
inhalers: double blind, randomised
clinical trial of efficacy and safety.”
1b. Abstract
Structured summary of trial design,
methods, results, and conclusions.
For specific guidance see CONSORT for
abstracts 8
Using the CONSORT for
Abstracts checklist:
some examples
This is a series of slides providing illustrative examples of randomized
trials using the CONSORT for Abstracts checklist.
These examples should be read in conjunction with the CONSORT
for Abstracts explanation and elaboration publication.
Correspondence to: i.m.hoepelman@umcutrecht.nl
http://jama.ama-assn.org/cgi/content/full/296/21/2572
Correspondence to: sue.moss@icr.ac.uk
allocation concealment “The allocation sequence was concealed from the researcher
mechanism (JR) enrolling and assessing participants in sequentially
numbered, opaque, sealed and stapled envelopes. Aluminium
foil inside the envelope was used to render the envelope
Mechanism used to impermeable to intense light. To prevent subversion of the
allocation sequence, the name and date of birth of the
implement the random participant was written on the envelope and a video tape
allocation sequence (such as made of the sealed envelope with participant details visible.
sequentially numbered Carbon paper inside the envelope transferred the information
onto the allocation card inside the envelope and a second
containers), describing any researcher (CC) later viewed video tapes to ensure
steps taken to conceal the envelopes were still sealed when participants’ names were
sequence until interventions written on them. Corresponding envelopes were opened only
after the enrolled participants completed all baseline 21
were assigned assessments and it was time to allocate the intervention.”
“Determination of whether a patient would be treated by
streptomycin and bed-rest (S case) or by bed-rest alone (C case)
was made by reference to a statistical series based on random
sampling numbers drawn up for each sex at each centre by
Professor Bradford Hill; the details of the series were unknown to
Methods any of the investigators or to the co-ordinator … After acceptance
of a patient by the panel, and before admission to the
streptomycin centre, the appropriate numbered envelope was
10. Randomisation: opened at the central office; the card inside told if the patient was
to be an S or a C case, and this information was then given to
implementation the medical officer of the centre.”
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13a. Participant Flow
For each group, the numbers of participants who were
randomly assigned, received intended treatment, and were
Results analysed for the primary outcome
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Results
14b. Reason for stopped trial
Why the trial ended or was stopped
13b. Losses and exclusions
For each group, losses and 15. Baseline Data
exclusions after randomisation, A table showing baseline
together with reasons demographic and clinical
characteristics for each group
14a. Recruitment
Dates defining the periods of 16. Numbers analysed
recruitment and follow-up For each group, number of
participants (denominator) included
in each analysis and whether the
analysis was by original assigned27
groups
Results
17a. Outcomes and 18. Ancillary analyses
Results of any other analyses
estimation
performed, including subgroup
For each primary and secondary
analyses and adjusted analyses,
outcome, results for each group,
distinguishing pre-specified from
and the estimated effect size and
exploratory
its precision (such as 95%
confidence interval) 19. Harms
17b. Binary outcomes
For binary outcomes, presentation All important harms or unintended
of both absolute and relative effect effects in each group
sizes is recommended
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Discussion
20. Limitations
Trial limitations, addressing
sources of potential bias,
imprecision, and, if relevant, 22. Interpretation
multiplicity of analyses Interpretation consistent with
21. Generalisability results, balancing benefits and
Generalisability (external validity, harms, and considering other
applicability) of the trial findings relevant evidence
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Other Information
23. Registration
Registration number and name of
trial registry 25. Funding
Sources of funding and other
support (such as supply of drugs),
role of funders
24. Protocol
Where the full trial protocol can be
accessed, if available
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Penjelasan Lebih
Detail Silahkan
Baca Artikel Ini
http://www.consort-
statement.org/Media/Default/Downloads/CONSORT%202010%2
0Explanation%20and%20Elaboration/CONSORT%202010%20Ex
planation%20and%20Elaboration%20-%20BMJ.pdf
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Conclusion
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Tugas
1. Masing-masing individu mencari 2 artikel/jurnal terdiri dari 1 jurnal
dengan desain studi observasional dan 1 jurnal dengan desain RCT.
(Jurnal yang digunakan berbeda antar individu)
2. Melakukan Telaah terhadap artikel/jurnal berdasarkan STROBE
statement dan CONSORT statement. Gunakan checklist (lampiran)
dengan format: Item/Komponen, No. Item, Rekomedasi, Dilaporkan
pada halaman, Teks yang relevan dengan manuskrip. Cat: jika tidak
berlaku tuliskan tidak berlaku (not applicable).
3. Hasil penelaahan ditulis dalam bentuk makalah dan dikumpulkan
melalui email ke ymahwati@gmail.com
4. Tugas dikumpulkan paling lambat tanggal 15 April 2022 pukul 24.00.
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Sistematika Makalah
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Thank you
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