Reporting clinical trials in general surgical journals

Readers need information about the design and analysis of a clinical trial to evaluate and interpret its findings. We reviewed 84 therapeutic trials appearing in six general surgical journals from July 1981 through June 1982 and assessed the reporting of 11 important aspects of design and analysis. Overall, 59% of the 11 items were clearly reported, 5% were ambiguously discussed, and 36% were not reported. The frequency of reporting in general surgical journals is thus similar to the 56% found by others for four general medical journals. Reporting was best for random allocation (89%), loss to follow-up (86%), and statistical analyses (85%). Reporting was most deficient for the method used to generate the treatment assignment (27%) and for the power of the investigation to detect treatment differences (5%). We recommend that clinical journals provide a list of important items to be included in reports on clinical trials.