Across rheumatic diseases

Adequacy of trial registration and consistency in outcome reporting in rheumatology RCTs: A meta-research study

Semin Arthritis RheumPublished Meta-research study

Authors' conclusion

Despite improvements in trial registration practices, major gaps persist in outcome specification and reporting consistency in rheumatology RCTs.

Study context

Population
Primary reports of rheumatology RCTs published from 2009 to 20221,679 primary outcomes
Participants
947 participants
Outcome
Adequacy of primary outcome registration (SPIRIT-based criteria: measurement, analysis metric, time points) and consistency of outcome reporting between registry and publication
Methodological detailslogistic regression
  • Logistic regression

Main finding

As reported in the abstract

Trials adequately describing all primary outcomes in the registry

38%

Adequately registered trials reporting primary outcomes consistently in the publication

67%

Trials meeting both criteria

25%

Further findings

Gaps and inconsistencies, and trends over time

Most common gap in outcome description: missing participant-level analysis metric
Most prevalent inconsistency: changes in timing of outcome assessment
Adequate registration improved 2009–2013, then plateaued; reporting consistency showed no improvement over time

Original publication

Adequacy of trial registration and consistency in outcome reporting in rheumatology RCTs: A meta-research study. Semin Arthritis Rheum. Published 22 January 2026. doi:10.1016/j.semarthrit.2026.152926

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