Evidence map›Paper›PMID 42282875›Full record

ReviewBJA open2026

Platform trials in anaesthesia and perioperative medicine: a scoping review.

Pooveshni Govender, Daniel R Frei, Hassan M Ahmed, Richard Beasley, Elizabeth G Ryan, Paul S Myles

Abstract readReview
In one paragraph

Review in BJA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Pooveshni GovenderDepartment of Anaesthesia and Pain Management, Wellington Regional Hospital, Wellington, New Zealand.
Daniel R FreiDepartment of Anaesthesia and Pain Management, Wellington Regional Hospital, Wellington, New Zealand.
Hassan M AhmedDepartment of Anaesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt.
Richard BeasleyMedical Research Institute of New Zealand, Wellington, New Zealand.
Elizabeth G RyanSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Paul S MylesDepartment of Anaesthesiology and Peri-operative Medicine, Alfred Health, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traditional randomized control trials underpin evidence generation in anaesthesia and perioperative medicine, but are often poorly suited to evaluating multiple, evolving clinical questions. Platform trials encorporate a trial design that evaluates multiple interventions within one or more domains, is governed centrally using a master or core protocol, and has the capacity to add new research questions through the addition of new treatments and/or subgroup. Platform trials offer a flexible alternative, enabling the concurrent and sequential evaluation of multiple interventions and more efficient identification of effective or harmful treatments. Methods: We conducted a scoping review using the Joanna Briggs Institute methodology, reported in accordance with PRISMA-ScR. Searches of bibliographic databases, grey literature and clinical trial registries (Ovid MEDLINE, Ovid Embase, Scopus, CINAHL Complete, Web of Science and the Cochrane Library) were undertaken. Records meeting an a priori definition of platform trials in anaesthesia or perioperative medicine were included. Trial design and methodological features were extracted and synthesised descriptively. Results: Among 32 062 records identified, nine platform trials met eligibility criteria. Most were registered (8/9) and university-sponsored, with nearly half in the planning phase. All trials were multicentre, predominantly conducted in high-income countries and 44% involved international collaboration. Adult surgical populations were most commonly studied, with surgical site infection prevention being the leading perioperative focus. Across the nine platform trials, 24 interventions were evaluated, predominantly surgical (58.3%), followed by anaesthetic (12.5%). Adaptive features were universal, and Bayesian statistical methods predominated. Conclusions: Platform trials remain uncommon and methodologically diverse in anaesthesia and perioperative medicine, reflecting early-stage adoption within an evolving field. Greater consensus regarding nomenclature, governance, and methodological standards, alongside expansion into anaesthesia-specific domains, is needed to realise their efficiency and ethical advantages.

Indexed as

adaptive trial designsanaesthesiologymaster protocolperioperative medicineplatform trialssurgery

Identifiers

PMID42282875
PMCPMC13251709

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.