Abstract

Adequate reporting of randomized, controlled trials (RCTs) is necessary to allow accurate critical appraisal of the validity and applicability of the results. The CONSORT (Consolidated Standards of Reporting Trials) Statement, a 22-item checklist and flow diagram, is intended to address this problem by improving the reporting of RCTs. However, some specific issues that apply to trials of nonpharmacologic treatments (for example, surgery, technical interventions, devices, rehabilitation, psychotherapy, and behavioral intervention) are not specifically addressed in the CONSORT Statement. Furthermore, considerable evidence suggests that the reporting of nonpharmacologic trials still needs improvement. Therefore, the CONSORT group developed an extension of the CONSORT Statement for trials assessing nonpharmacologic treatments. A consensus meeting of 33 experts was organized in Paris, France, in February 2006, to develop an extension of the CONSORT Statement for trials of nonpharmacologic treatments. The participants extended 11 items from the CONSORT Statement, added 1 item, and developed a modified flow diagram. To allow adequate understanding and implementation of the CONSORT extension, the CONSORT group developed this elaboration and explanation document from a review of the literature to provide examples of adequate reporting. This extension, in conjunction with the main CONSORT Statement and other CONSORT extensions, should help to improve the reporting of RCTs performed in this field.

Keywords

Consolidated Standards of Reporting TrialsChecklistMedicineRandomized controlled trialCritical appraisalPsychological interventionStatement (logic)Clinical trialAlternative medicinePhysical therapyMedical physicsPsychologyNursingSurgery

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Publication Info

Year
2008
Type
article
Volume
148
Issue
4
Pages
295-309
Citations
2229
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Isabelle Boutron, David Moher, Douglas G. Altman et al. (2008). Extending the CONSORT Statement to Randomized Trials of Nonpharmacologic Treatment: Explanation and Elaboration. Annals of Internal Medicine , 148 (4) , 295-309. https://doi.org/10.7326/0003-4819-148-4-200802190-00008

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DOI
10.7326/0003-4819-148-4-200802190-00008