swiontkowski marc colorIn the March 2, 2016 edition of JBJS, Rongen et al. air some dirty laundry regarding the orthopaedic community’s registering and reporting on randomized controlled trials (RCTs). According to the authors, only 25% of 362 RCTs published in the top-ten orthopaedic journals between January 2010 and December 2014 were reported as having been registered. Furthermore, of those 25%, only 47% were registered before the end of the trial, and only 38% of those 25% were registered before the enrollment of the first patient, as specified by the International Committee of Medical Journal Editors (ICMJE).

Additionally disheartening is the finding that among the 26 trial reports that the authors deemed eligible for evaluation of consistency between the registered outcome measure(s) and outcomes reported in the published article, 14 (54%) were found to have one or more outcome-measure discrepancies.

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