Related Experiment Video
Updated: Apr 3, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
Published on: July 30, 2009
Recommendations and evidence for reporting items in pediatric clinical trial protocols and reports: two systematic
April V P Clyburne-Sherin1, Pravheen Thurairajah2, Mufiza Z Kapadia3
1The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, SickKids Research Institute, Child Health Evaluative Sciences, 686 Bay Street, Toronto, ON, M5G 0A4, Canada. april.clyburne.sherin@gmail.com.
Insights
This study developed pediatric reporting guideline extensions, SPIRIT-Children (SPIRIT-C) and CONSORT-Children (CONSORT-C), to improve transparency and reduce bias in pediatric clinical trials.
Area of Science:
- Clinical Trials
- Pediatric Research
- Reporting Guidelines
Background:
- Inadequate reporting of pediatric clinical trial protocols and reports is a persistent issue.
- Existing guidelines like SPIRIT and CONSORT lack specific guidance for pediatric trials.
- This necessitates the development of tailored reporting standards for pediatric research.
Purpose of the Study:
- To systematically review evidence and recommendations for reporting items in pediatric trial protocols and reports.
- To inform the development of pediatric extensions to the SPIRIT and CONSORT guidelines.
- To improve the quality and transparency of pediatric clinical trial reporting.
Main Methods:
- Conducted two systematic reviews searching MEDLINE, Cochrane Methodology Register, and reference lists.
- Included publications with recommendations or empirical evidence for pediatric protocol (SPIRIT-C) or report (CONSORT-C) items.
- Extracted study characteristics, recommendations, and evidence, synthesizing recurrent themes.
Main Results:
- Included 366 publications for SPIRIT-C and 429 for CONSORT-C systematic reviews.
- Identified recommendations for most original and potential reporting items for both SPIRIT-C and CONSORT-C.
- Overarching themes included transparency, reproducibility, validity, bias, and ethics.
Conclusions:
- These systematic reviews provide the first comprehensive evidence base for pediatric reporting guideline extensions.
- The developed SPIRIT-C and CONSORT-C guidelines offer crucial guidance for pediatric trial reporting.
- These extensions aim to improve reporting consistency, reduce research waste, and enhance the utility of pediatric trial documents.
Background:
Complete and transparent reporting of clinical trial protocols and reports ensures that these documents are useful to all stakeholders, that bias is minimized, and that the research is not wasted. However, current studies repeatedly conclude that pediatric trial protocols and reports are not appropriately reported. Guidelines like SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) and CONSORT (Consolidated Standards of Reporting Trials) may improve reporting, but do not offer guidance on issues unique to pediatric trials. This paper reports two systematic reviews conducted to build the evidence base for the development of pediatric reporting guideline extensions: 1) SPIRIT-Children (SPIRIT-C) for pediatric trial protocols, and 2) CONSORT-Children (CONSORT-C) for pediatric trial reports.
Method:
MEDLINE, the Cochrane Methodology Register, and reference lists of included studies were searched. Publications of any type were eligible if they included explicit recommendations or empirical evidence for the reporting of potential items in a pediatric protocol (SPIRIT-C systematic review) or trial report (CONSORT-C systematic review). Study characteristics, recommendations and evidence for pediatric extension items were extracted. Recurrent themes in the recommendations and evidence were identified and synthesized. All steps were conducted by two reviewers.
Results:
For the SPIRIT-C and CONSORT-C systematic reviews 366 and 429 publications were included, respectively. Recommendations were identified for 48 of 50 original reporting items and sub-items from SPIRIT, 15 of 20 potential SPIRIT-C reporting items, all 37 original CONSORT items and sub-items, and 16 of 22 potential CONSORT-C reporting items. The following overarching themes of evidence to support or refute the utility of reporting items were identified: transparency; reproducibility; interpretability; usefulness; internal validity; external validity; reporting bias; publication bias; accountability; scientific soundness; and research ethics.
Conclusion:
These systematic reviews are the first to systematically gather evidence and recommendations for the reporting of specific items in pediatric protocols and trials. They provide useful and translatable evidence on which to build pediatric extensions to the SPIRIT and CONSORT reporting guidelines. The resulting SPIRIT-C and CONSORT-C will provide guidance to the authors of pediatric protocols and reports, respectively, helping to alleviate concerns of inappropriate and inconsistent reporting, and reduce research waste.
Related Concept Videos
Clinical Trials
There are four phases in a clinical trial. A phase one...
Types of Reports III: Telephone and Verbal Reports
Here's an overview of each type:
Telephone Orders
Clinical Trials: Overview
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Drug Distribution
Pharmacokinetics in Pediatric Patients: Drug Metabolism

