Safety, quality & education

Statistical significant results in regional anesthesia randomized controlled trials: Investigating prevalence, associated factors and implications – A systematic review

J Clin AnesthPublished Systematic review

Authors' conclusion

A high proportion of RA RCTs report statistically significant results, and these outcomes are associated with study design and comparator choice.

Study context

Population
Regional anesthesia (RA) randomized controlled trials (RCTs) published in 136 journals of the "Anesthesia and Pain Medicine" category (Scopus CiteScore)RA RCTs of 4524 articles
Participants
1,079 participants
Outcome
Prevalence of statistically significant results (primary outcome p < 0.05) in RA RCTs
Methodological detailsmeta-research, logistic regression
  • Meta-research
  • Logistic regression

Pooled result

As reported in the abstract

Not statistically significant primary outcome

RCTs reporting not statistically significant results

241

22.3%

Further pooled results

Factors associated with statistically significant findings (logistic regression)

OR (95% CI)
Studies focused on RA techniques2.28 (1.12–4.63)
Studies of pediatric populations3.39 (1.19–9.66)
Studies not receiving funding0.67 (0.46–0.98)
Factors associated with statistically significant findings (logistic regression) — Model performance AUC
0.690

Study characteristics

Monocentric studies
95.8%
Non-active comparators
40.4%

Original publication

Statistical significant results in regional anesthesia randomized controlled trials: Investigating prevalence, associated factors and implications – A systematic review. J Clin Anesth. Published 17 February 2026. doi:10.1016/j.jclinane.2026.112155

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