Evidence map›Paper›PMID 40770172›Full record

ArticlePain and therapy2025

Adherence to CONSORT-PRO Extension Guidelines for Patient-Reported Outcomes in Randomized Controlled Trials Focused on Peripheral Nerve Blocks: A Meta-epidemiological Study.

Adam Khan, Tiffany Nguyen, Bryan Dunford, Taimoor Khan, Mahnoor Khalid, Cody Hillman, Samuel Shepard, Micah Kee, Will Roberts, Ashlyn Terrell and 4 more

Abstract read
In one paragraph

Article in Pain and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Adam KhanOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, 1111 W 17th St., Tulsa, OK, 74107, USA. Adam.khan@okstate.edu.ORCID http://orcid.org/0000-0003-1358-5119
Tiffany NguyenDepartment of Emergency Medicine, Texas Tech Health, El Paso, TX, USA.
Bryan DunfordDepartment of Anesthesiology, Oklahoma State University Medical Center, Tulsa, OK, USA.
Taimoor KhanDepartment of Internal Medicine, The University of Oklahoma School of Community Medicine, Tulsa, OK, USA.
Mahnoor KhalidDepartment of Internal Medicine, The University of Oklahoma School of Community Medicine, Tulsa, OK, USA.
Cody HillmanDepartment of Internal Medicine, The University of Oklahoma School of Community Medicine, Tulsa, OK, USA.
Samuel ShepardDepartment of Orthopedic Surgery, Kettering Health, Dayton, OH, USA.
Micah KeeDepartment of Internal Medicine, Oklahoma State University Medical Center, Tulsa, OK, USA.
Will RobertsDepartment of Pain Management/Anesthesiology, Baylor Scott & White Medical Center, Temple, TX, USA.
Ashlyn TerrellUndersea Hyperbaric Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
Landon StallingsAndrews Research & Education Foundation, Gulf Breeze, FL, USA.
Ryan OttwellDepartment of Dermatology, Trinity Health, Ann Arbor, MI, USA.
Micah HartwellOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, 1111 W 17th St., Tulsa, OK, 74107, USA.
Matt VassarOffice of Medical Student Research, Oklahoma State University Center for Health Sciences, 1111 W 17th St., Tulsa, OK, 74107, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatient-reported outcomes (PROs), such as peri- and postoperative pain scores, capture patient perspectives in regional anesthesia trials. However, whether these outcomes are reported according to established guidelines remains unclear. The CONSORT statement and its PRO extension (CONSORT-PRO) aim to enhance transparency in reporting PROs, yet no study has investigated adherence in peripheral nerve block (PNB) trials. Our meta-epidemiological investigation evaluated how well PNB randomized controlled trials (RCTs) adhere with CONSORT-PRO and explored whether trial characteristics affect reporting quality.

methodsWe performed a cross-sectional, meta-epidemiological study to determine adherence to CONSORT-PRO reporting guidelines in RCTs. We searched Cochrane Central Register of Controlled Trials (CENTRAL), Embase, and MEDLINE for RCT publications investigating PNBs between 2006 and 2020. RCTs investigating PNBs that incorporated PROs as a primary or secondary outcome were included. All other studies, reviews, or publications without a PRO were excluded.

resultsIn total, 65 RCTs met the inclusion criteria. Mean CONSORT-PRO adherence was 46.80 ± 17.36%, and trials that designated a PRO as the primary endpoint were more adherent than those in which the PRO was secondary (49.27 ± 16.58% versus 38.57 ± 17.92%; P = 0.035). Trials with ≥ 6-month follow-up were 16.24% more adherent than those with ≤ 3-month follow-up (P = 0.006). Studies that used a visual analog scale (VAS) or numeric rating scale (NRS) in combination with other PRO instruments were significantly more adherent than trials using VAS alone (P = 0.028).

conclusionsOur meta-epidemiological review reveals substantial nonadherence to CONSORT-PRO guidelines in PNB trials. Although PROs are crucial for capturing patient-centered outcomes, they remain under-reported, especially when treated as secondary endpoints. Using diverse, validated measures beyond VAS/NRS and consistently applying CONSORT-PRO can enhance the quality, transparency, and clinical relevance of future trials. Targeted education for authors, editors, and clinicians-and expanded research on neuraxial techniques-will further strengthen reporting standards and the interpretability of anesthesia evidence.

Indexed as

Adherence to reporting guidelinesCONSORT-PROPatient-reported outcomePeripheral nerve blockQuality of lifeRandomized controlled trialsRegional anesthesiaRisk of bias

Identifiers

PMID40770172
PMCPMC12484481

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.