Physical Therapy
Goal for “Raising the Bar” for RCT
Enhance consistency and
quality of care delivery
Craik RL, Maher C. Still “Not Satisfied”…Yet. Phys Ther 2008;88:423-425.
PTJ History for RCT Standards
• Consolidated Standards of Reporting
– January 1, 2008
• Clinical Trial Registration &
• CONSORT for nonpharmacologic trials
– April 2008
• New Review Process for RCTs
– May 2012
Craik RL. PTJ Adopts a new procedure for review of RCTs. PTJ 2012; 92:642-43.
Craik RL. PTJ Adopts a new procedure for review of RCTs. PTJ 2012; 92:642-43
Craik RL. PTJ Adopts a new procedure for review of RCTs. PTJ 2012; 92:642-43
Current Process:
– RCT Team EBM (in either EBM or Reviewer
role)
• Receives clinical trial registration #
• Responsible for checking description of trial in
the clinical trial registry
– We are not sharing the registry number with
the other reviewers.
RCTs Submitted
2011
46
2010
22
2009
27
2008
23
2007
7
2006
18
2005
12
0
5
10
15
20
25
30
35
40
45
50
PTJ Research Reports
Total Research Reports Pub'd
RCTs Pub'd
87
84
81
78
76
80
56
36
18
13
6
2011
7
2010
10
4
2009
9
2
2008
6
2
2007
4 4
2006
2 3
2005
0 2
2004
2012 thus far
• 47 RCTs submitted
• 36% - immediately rejected
– enrollment prior to registration
– lack of registration
– fatal flaws in methods
• 26% - reject after first round of review
• Of those RCTs with a final decision as of this
date: 85% rejected