Table 3

Spin assessment in acupuncture randomised controlled trials

SpinAbstract (n=476)Main text (n=476)
Spin in the title78 (16.4) (13.3 to 20.0)
Inconsistency with the protocol (without explanation)121 (25.4) (21.7 to 29.5)
Any unreported dropouts or missing data31 (6.5) (4.6 to 9.1)
Omitted of safety outcomes204 (42.9) (38.5 to 47.3)
Results section188 (39.5) (35.2 to 44.0)112 (23.5) (19.9 to 27.5)
 Focusing on statistically significant within-group comparison40 (8.4) (6.2 to 11.2)31 (6.5) (4.6 to 9.1)
 Focusing on statistically significant secondary outcomes10 (2.1) (1.1 to 3.8)10 (2.1) (1.1 to 3.8)
 Focusing on statistically significant subgroup analyses2 (0.4) (0.1 to 1.5)3 (0.6) (0.2 to 1.8)
 Focusing on statistically significant modified population of analyses (eg, pre-protocol analyses)1 (0.2) (0.0 to 1.2)1 (0.2) (0.0 to 1.2)
 Selectively emphasise of significant results or time points151 (31.7) (27.7 to 36.0)74 (15.6) (12.5 to 19.1)
Discussion section/163 (34.2) (30.1 to 38.6)
 Selectively emphasise of significant results or time points/95 (19.9) (16.6 to 23.8)
 Modified non-significant results as equivalence effectiveness/9 (1.9) (1.0 to 3.6)
 Modified non-significant results as comparable effectiveness/25 (5.3) (3.6 to 7.6)
 Modified non-significant results claim the beneficial effect/14 (2.9) (1.8 to 4.9)
 Consider only statistical significance not clinical significance/10 (2.1) (1.1 to 3.8)
 Recommendation of study results to other populations/1 (0.2) (0.0 to 1.2)
 Use hyperbole to describe the conclusion/46 (9.7) (7.3 to 12.7)
Conclusion section184 (39.7) (34.4 to 43.1)133 (27.9) (24.1 to 32.1)
 Selectively emphasise of significant results or time points138 (29.0) (25.1 to 33.2)84 (17.6) (14.5 to 21.3)
 Modified non-significant results as equivalence effectiveness12 (2.5) (1.5 to 4.4)7 (1.5) (0.7 to 3.0)
 Modified non-significant results as comparable effectiveness21 (4.4) (2.9 to 6.7)13 (2.7) (1.6 to 4.6)
 Modified non-significant results claim the beneficial effect12 (2.5) (1.5 to 4.4)15 (3.2) (1.9 to 5.1)
 Consider only statistical significance not clinical significance12 (2.5) (1.5 to 4.4)4 (0.8) (0.3 to 2.1)
 Recommendation of study results to other populations01 (0.2) (0.0 to 1.2)
 Use hyperbole to describe the conclusion39 (7.6) (5.4 to 10.5)6 (1.3) (0.6 to 2.7)
 others3 (0.6) (0.2 to 1.8)29 (6.1) (4.2 to 8.6)
Low level of spin28 (5.9) (4.1 to 8.4)
Moderate level of spin23 (4.8) (3.2 to 7.4)
High level of spin6 (1.3) (0.6 to 2.7)
  • Note: ‘/’ means not applicable.