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Updated: Jun 28, 2026

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Published on: January 8, 2020
Following 411 Cochrane protocols to completion: a retrospective cohort study
Andrea C Tricco1, Jamie Brehaut, Maggie H Chen
1Chalmers Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Only 80% of Cochrane protocols become full reviews, with a median 2.4-year publication time. Strategies are needed to speed up Cochrane review publication and improve efficiency.
Area of Science:
- Systematic review methodology
- Evidence-based medicine
Background:
- Cochrane reviews are highly regarded for scientific rigor.
- Factors influencing Cochrane review publication have not been previously studied.
- Understanding publication predictors is crucial to avoid biased decision-making.
Purpose of the Study:
- To determine the publication frequency of Cochrane protocols.
- To identify factors predicting the time to publication for Cochrane reviews.
Main Methods:
- Retrospective cohort study of Cochrane protocols published in 2000-2001.
- Follow-up of publication status until January 2008 in The Cochrane Library.
- Survival analysis to assess time to publication and predictive factors.
Main Results:
- 80.9% of 372 analyzed Cochrane protocols were published as full reviews.
- Median time to publication was 2.4 years (range: 0.15-8.96 years).
- Shorter publication time correlated with subsequent review updates; longer time correlated with multiple protocol amendments.
Conclusions:
- Approximately 20% of Cochrane protocols remain unpublished after over 8 years.
- Significant delays in publication time were observed.
- Streamlining processes, enhancing author support for amendments, and improving update infrastructure are recommended.
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