Regional anaesthesia

Assessing the changes in outcome measurements in randomized controlled trials of regional anesthesia interventions: a registry-publication comparison study

Reg Anesth Pain MedPublished Cross-sectional study

Authors' conclusion

In this sample of 74 RA trials, differences between the earliest and most recent registered outcome fields were common, including changes involving primary outcomes. For most of these trials, the most recently entered substantive modification occurred after primary completion or publication and was not explicitly explained in the associated publication.

Study context

Population
Interventional regional anesthesia (RA) trials in adults registered on ClinicalTrials.gov, initiated January 2017–December 2024, with posted tabular results and a linked peer-reviewed publicationeligible trials
Participants
74 trials
Outcome
Outcome changes between earliest and most recent registry versions
Methodological detailsregistry-based, registry-publication comparison
  • Registry-based
  • Registry-publication comparison

Main finding

As reported in the abstract

Trials with ≥1 substantive outcome change between registry versions
91.9%
Most recent substantive modification after primary completion (trials with substantive modifications)
47.1%
Most recent substantive modification after publication (trials with substantive modifications)
51.5%
Modifications disclosed
0
Trials with high-impact modifications
37.8%

Observational data: associations, not effects.

Original publication

Assessing the changes in outcome measurements in randomized controlled trials of regional anesthesia interventions: a registry-publication comparison study. Reg Anesth Pain Med. Published 29 September 2026. doi:10.1136/rapm-2026-108295

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