Article Text
Abstract
Objectives Appropriate reporting is central to the application of findings from research to clinical practice. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) recommendations consist of a checklist of 22 items that provide guidance on the reporting of cohort, case–control and cross-sectional studies, in order to facilitate critical appraisal and interpretation of results. STROBE was published in October 2007 in several journals including The Lancet, BMJ, Annals of Internal Medicine and PLoS Medicine. Within the framework of the revision of the STROBE recommendations, the authors examined the context and circumstances in which the STROBE statement was used in the past.
Design The authors searched the Web of Science database in August 2010 for articles which cited STROBE and examined a random sample of 100 articles using a standardised, piloted data extraction form. The use of STROBE in observational studies and systematic reviews (including meta-analyses) was classified as appropriate or inappropriate. The use of STROBE to guide the reporting of observational studies was considered appropriate. Inappropriate uses included the use of STROBE as a tool to assess the methodological quality of studies or as a guideline on how to design and conduct studies.
Results The authors identified 640 articles that cited STROBE. In the random sample of 100 articles, about half were observational studies (32%) or systematic reviews (19%). Comments, editorials and letters accounted for 15%, methodological articles for 8%, and recommendations and narrative reviews for 26% of articles. Of the 32 observational studies, 26 (81%) made appropriate use of STROBE, and three uses (10%) were considered inappropriate. Among 19 systematic reviews, 10 (53%) used STROBE inappropriately as a tool to assess study quality.
Conclusions The STROBE reporting recommendations are frequently used inappropriately in systematic reviews and meta-analyses as an instrument to assess the methodological quality of observational studies.
- Rheumatology
- public health
- rehabilitation medicine
- epidemiology
- systematic reviews
- prognostic studies
- statistics
- research designs in field of test evaluations
- heterogeneity
- bias
- diagnostic accuracy
- HIV/AIDS
- metaanalysis
- social medicine
- reporting guideline
- methodological study
- STROBE
- methodological quality
- quality assessment
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- Rheumatology
- public health
- rehabilitation medicine
- epidemiology
- systematic reviews
- prognostic studies
- statistics
- research designs in field of test evaluations
- heterogeneity
- bias
- diagnostic accuracy
- HIV/AIDS
- metaanalysis
- social medicine
- reporting guideline
- methodological study
- STROBE
- methodological quality
- quality assessment
Supplementary materials
Supplementary Data bmjopen-2010-000048
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Footnotes
To cite: da Costa BR, Cevallos M, Altman DG, et al. Uses and misuses of the STROBE statement: bibliographic study. BMJ Open 2011;1:e000048. doi:10.1136/bmjopen-2010-000048
Funding BRdC is supported by a grant from the ARCO Foundation, Switzerland. STROBE is supported by the Swiss National Science Foundation and the Schweizerische Akademie der Medizinischen Wissenschaften.
Competing interests BRdC, MC, DGA, and ME are members of the group revising the STROBE statement.
Contributors All authors conceptualised the ideas in the manuscript, and read and approved the manuscript. BRdC developed the first draft and incorporated comments from authors for successive drafts. BRdC is the guarantor of this study.
Provenance and peer review Not commissioned; externally peer reviewed.