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10.1016/j.jclinepi.2021.03.020

http://scihub22266oqcxt.onion/10.1016/j.jclinepi.2021.03.020
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33775812!7997163!33775812
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suck abstract from ncbi


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pmid33775812      J+Clin+Epidemiol 2021 ; 136 (ä): 55-63
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  • A metaresearch study revealed susceptibility of Covid-19 treatment research to white hat bias: first, do no harm #MMPMID33775812
  • Bellos I
  • J Clin Epidemiol 2021[Aug]; 136 (ä): 55-63 PMID33775812show ga
  • OBJECTIVE: To investigate the presence of white hat bias in Covid-19 treatment research by evaluating the effects of citation and reporting bias. STUDY DESIGN AND SETTING: Citation bias was investigated by assessing the degree of agreement between evidence provided by a remdesivir randomized controlled trial and its citing articles. The dissimilarity of outcomes derived from nonrandomized and randomized studies was tested by a meta-analysis of hydroxychloroquine effects on mortality. The differential influence of studies with beneficial over those with neutral results was evaluated by a bibliometric analysis. RESULTS: The articles citing the ACTT-1 remdesivir trial preferentially presented its positive outcomes in 55.83% and its negative outcomes in 6.43% of cases. The hydroxychloroquine indicated no significant effect by randomized studies, but a significant survival benefit by nonrandomized ones. Citation mapping revealed that the study reporting survival benefit from the hydroxychloroquine-azithromycin combination was the most influential, despite subsequent studies reporting potential harmful effects. CONCLUSION: The present study raises concerns about citation bias and a predilection of reporting beneficial over harmful effects in the Covid-19 treatment research, potentially in the context of white hat bias. Preregistration, data sharing and avoidance of selective reporting are crucial to ensure the credibility of future research.
  • |*COVID-19 Drug Treatment[MESH]
  • |Adenosine Monophosphate/*analogs & derivatives/therapeutic use[MESH]
  • |Alanine/*analogs & derivatives/therapeutic use[MESH]
  • |Anti-Bacterial Agents/*therapeutic use[MESH]
  • |Antiviral Agents/*therapeutic use[MESH]
  • |Azithromycin/*therapeutic use[MESH]
  • |Bias[MESH]
  • |Drug Therapy, Combination[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/*therapeutic use[MESH]


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