Objective
To describe research methodology and statistical reporting of published articles in high impact factor, general medical journals compared to moderate impact factor obstetric and gynecology journals.
Methods
A cross-sectional analysis was performed on 371 articles published from January to June 2006, in 6 journals (high impact factor group—Journal of the American Medical Association, Lancet, the New England Journal of Medicine; moderate impact factor group—American Journal of Obstetrics and Gynecology, British Journal of Obstetrics and Gynecology, and Obstetrics & Gynecology). Articles were classified by level of evidence. Data abstracted from each article included: number of authors, clearly stated hypothesis, sample size/power calculations, statistical measures, and use of regression analysis. Univariable analyses were performed to evaluate differences between the high and moderate impact factor groups.
Results
The majority of published reports were observational studies (50%), followed by randomized controlled trials ([RCTs] 24%), case reports (14%), systematic reviews (6%), case series (1%), and other study types (4%). Within the high factor impact group, 35% were RCTs compared to 12% in the moderate impact group (RR 2.9, 95% CI 1.9-4.4). Recommended statistical reporting (eg point estimates with measures of precision) was more common in the high impact group (P<0.005).
Conclusions
The proportion of RCTs published among the high impact factor group was 3 times that of the moderate group. Efforts to provide the highest level of evidence and statistical reporting have potential to improve the quality of reports in the medical literature available for clinical decision making.