Rushton provides a report on some of the most serious omissions and errors in papers presented in recent years to the journal, ‘Occupational and Environmental Medicine’. These are:
Design
Analysis
Presentation
The Table given below summarises some of the potential problems and their implications which might emerge in the context evaluation of an investigation. A point which must be kept in mind is that even where an investigation is flawed, some useful knowledge might be drawn from it.
The aim of critical analysis is not to discredit or tear down published work, but to ensure that the reader understands its implications and limitations.
Table : Checklist for evaluating published research
(adapted from Polgar and Thomas, 1991)
Design
- Authors unclear about type of epidemiological study;
- Adequacy of sample size not considered;
- Bias in selection of subjects; Execution
- Data collection problems and missing data not adequately reported;
- Non-respondents not investigated;
- Sample selection and exclusions inadequately justified;
Analysis
- Parametric tests carried out on obviously skewed data;
- Use of multiple paired tests;
- Inappropriate analysis of repeated measures or longitudinal data;
- Incorrect analysis of matched case-control studies;
- Modelling incorrect—e.g. inadequate adjustment for confounders, interaction terms not included, only significant variables
from preliminary analyses included;
Presentation
- Inadequate description of the methodology and statistical procedures;
- Inappropriate summary statistics for non-normal data;
- No presentation of risk estimates—e.g. odds ratios—and confidence intervals;
- Interpretation
- Potential bias due to sample selection, no or poor response, missing values, exclusions;
- Lack of statistical power not considered;
- No allowance made for multiple testing; and
- Misunderstanding and misinterpretation of results from models.
The Table given below summarises some of the potential problems and their implications which might emerge in the context evaluation of an investigation. A point which must be kept in mind is that even where an investigation is flawed, some useful knowledge might be drawn from it.
The aim of critical analysis is not to discredit or tear down published work, but to ensure that the reader understands its implications and limitations.
Table : Checklist for evaluating published research
Problems which might be identified in a research article | Possible implications |
1. Inadequate literature review | Misrepresentation of the conceptual basis for the research |
2. Vague aims or hypothesis | Research might lack direction; interpretation of evidence might be ambiguous |
3. Inappropriate research strategy | Findings might not be relevant to the problem being investigated |
4. Inappropriate sampling method | Measurements might not be related to concepts being investigated |
5. Inadequate sampling method | Sample might be biased, investigation could lack external validity |
6. Inadequate sample size | Sample might be biased; statistical analysis might lack power |
7. Inadequate description of sample | Application of findings to specific groups or individuals might be difficult |
8. Instruments lack validity or reliability | Findings might represent measurement errors |
9. Inadequate design | Investigation might lack internal validity; i.e. outcomes might be due to uncontrolled extraneous variables |
10. Lack of adequate control groups | Investigation might lack internal validity; size of the effect difficult to estimate |
11. Biased subject assignment | Investigation might lack internal validity |
12. Variations or lack of control | Investigation might lack internal validity of treatment parameters |
13. Observer bias not controlled (Rosenthal effects) | Investigation might lack internal and external validity |
14. Subject expectations not controlled | Investigations might lack internal and external validity (Hawthorne effects) |
15. Research carried out in inappropriate setting | Investigation might lack ecological validity |
16. Confounding of times at which observations | Possible series effects; investigation might lack and interventions are carried out internal validity |
17. Inadequate presentation of descriptive statistics | The nature of the empirical findings might not be comprehensible |
18. Inappropriate statistics used to describe | Distortion of data; false inferences might be drawn and/or analyse data |
19. Erroneous calculation of statistics | False inferences might be drawn |
20. Drawing incorrect inferences from the data | False conclusions might be made concerning the outcome of an investigation |
21. Protocol deviations | Investigation might lack external or internal validity |
22. Over-generalisation of finding | External validity might be threatened |
23. Confusing statistical and clinical significance | Treatments lacking clinical usefulness might be encouraged |
24. Findings not logically related to | Theoretical significance of the investigation remains previous research findings doubtful |
(adapted from Polgar and Thomas, 1991)
Sat Apr 08, 2023 8:31 am by Dr Abdul Aziz Awan
» Video for our MPH colleagues. Must watch
Sun Aug 07, 2022 11:56 pm by The Saint
» Salam
Sun Jan 31, 2021 7:40 am by mr dentist
» Feeling Sad
Tue Feb 04, 2020 8:27 pm by mr dentist
» Look here. Its 2020 and this is what we found
Mon Jan 27, 2020 7:23 am by izzatullah
» Sad News
Fri Jan 11, 2019 6:17 am by ameen
» Pakistan Demographic Profile 2018
Fri May 18, 2018 9:42 am by Dr Abdul Aziz Awan
» Good evening all fellows
Wed Apr 25, 2018 10:16 am by Dr Abdul Aziz Awan
» Urdu Poetry
Sat Apr 04, 2015 12:28 pm by Dr Abdul Aziz Awan