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A checklist to assess Trustworthiness in RAndomised Controlled Trials (TRACT checklist)
Open accessPreprint — published as 10.1186/s41073-023-00130-8 · Paper page
Abstract
Objectives: To develop a checklist to screen, for trustworthiness, papers reporting the results of randomised controlled trials (RCTs). Design: A screening tool was developed using the four-stage approach proposed by Moher et al. This included defining the scope, reviewing the evidence base, suggesting a list of items from piloting, and holding a consensus meeting as part of a Delphi method. The initial checklist was set-up by a core group who had been involved in the assessment of dubious RCTs for several years. We piloted this in a Delphi panel of several stakeholders, including health professionals, reviewers, journal editors, policymakers, researchers and evidence-synthesis specialists. Each member was asked to score three articles with the checklist and the the results were then discussed in two Delphi sessions. Results: The Trustworthiness in RAndomised Clinical Trials (TRACT) checklist includes seven domains that are applicable to every RCT: governance, author group, plausibility of intervention usage, timeframe, drop-out rates, baseline characteristics and outcomes. Each domain contains two or three signalling questions that can be answered as either no concerns, some concerns/no information, or major concerns. If a study is assessed and found to have significant concerns, then editors or reviewers should consider a more thorough investigation, including assessment of original individual participant data. Conclusions: The TRACT checklist is the first checklist developed in a formal process to detect trustworthiness issues in RCTs. It might help editors, publishers and researchers to screen for such issues in submitted or published RCTs in a transparent and replicable manner.
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Self-citationWattar, B. H. A., Rogozińska, E., Nicholson, L., Fisher, D. J., Bordea, E., Hutchinson-Pascal, N., Moss, N., Hunter, R. M., Khan, K. S., Jurkovic, D., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-085292 · Cited by 2
Kiose, K. I., Kolibianakis, E. M., Kolibianaki, E., Moysiadou, A. I., Zepiridis, L. I., & Venetis, C. A. (2025) · Minerva Obstetrics and Gynecology · doi:10.23736/s2724-606x.25.05741-0 · Cited by 2
Hybrid Maternity Care and Impact on Pregnancy Outcomes: A Systematic Review and Meta-Analysis
D’Alberti, E., Giancotti, A., Hod, M., Papageorghiou, A. T., & Mascio, D. D. (2026) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000988 · Cited by 2
Grey, A. B., Avenell, A., & Bolland, M. J. (2026) · Reproductive Biology and Endocrinology · doi:10.1186/s12958-026-01526-z · Cited by 2
van Haaps, A. P., Oskam, M. A., Dreyer, K., Rosielle, K., de Vries, R., Mol, B. W., van Wely, M., Kallewaard, J. W., Schreurs, A. M. F., & Mijatovic, V. (2026) · AJOG Global Reports · doi:10.1016/j.xagr.2026.100640 · Cited by 2
Self-citationEndometrial injury in women undergoing in vitro fertilisation (IVF)
Perera, A. K., Gan, J., Afroz, A., Armstrong, S., Raine-Fenning, N., Martins, W. P., & Lensen, S. F. (2026) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009517.pub5 · Cited by 2
Bosteels, J., Spratt, W., & Mol, B. W. (2025) · Journal of Ultrasound in Medicine · doi:10.1002/jum.16720 · Cited by 2
Self-citationFlanagan, M., Au, N., Patabendige, M., Rattan, A., Samanta, R., Sahota, D. S., Terán, E., Jain, V., Musa, A. O., Ijaiya, M. A., et al. (2025) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.18197 · Cited by 2
Self-citationPatabendige, M., Chan, F. L., Al-Ibraheemi, Z., Kibii, D. K., Osoti, A. O., Ayieko, P., Surapaneni, T., Ramírez, M. R., Argilagós, Á. V., Gilani, S., et al. (2026) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.70949 · Cited by 2
Self-citationAzhar, S., Akram, J., Latif, W., Ibáñez, N. C., Mumtaz, S., Rafi, A., Aftab, U., Iqtadar, S., Shahzad, M., Syed, F., et al. (2024) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.40.5.8757 · Cited by 2
The OBGYN Editors’ Integrity Group (OGEIG) (2024) · Gynecologic and Obstetric Investigation · doi:10.1159/000541479 · Cited by 2
Beebeejaun, Y., Copeland, T. P., Sarris, I., Showell, M. G., Sunkara, S. K., & Duffy, J. M. (2025) · F&S Reviews · doi:10.1016/j.xfnr.2025.100088 · Cited by 1
Pscheidl, T., Weber, F., Sydenham, E., Meybohm, P., & Weibel, S. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-092243 · Cited by 1
Intraperitoneal chemotherapy for gastric cancer
Mu, M., Cai, Z., Hu, J., Liu, X., Zhang, B., Chen, Z., Hu, J.-K., & Yang, K. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd015698.pub2 · Cited by 1
Evidence contamination: what it is and why it matters
Xu, C., Furuya‐Kanamori, L., Gu, Z., Loke, Y. K., Lin, L., Stone, J., Fan, Z., Golder, S., Qin, Z., Guan, X., et al. (2026) · BMJ Evidence-Based Medicine · doi:10.1136/bmjebm-2025-114305 · Cited by 1
Self-citationKayimu, K., Berntsen, S., Fu, Y., Yuan, Y., Vomstein, K., Tian, T., Liu, F., Gao, J., Vuong, L. N., Ho, T. M., et al. (2026) · Human Reproduction · doi:10.1093/humrep/deag066 · Cited by 1
Self-citationAdvanced sperm selection techniques for assisted reproduction
Garg, A., Nakhla, O., Steeper, M., Afroz, A., Lepine, S. J., McDowell, S., Kroon, B., Glujovsky, D., Yazdani, A., & Lensen, S. F. (2026) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010461.pub4 · Cited by 1
Clinical potential of fluid-based biomarkers for recurrent implantation failure: a systematic review
Moradi, M., Santos, L. L., Zhou, W., Menkhorst, E. M., & Dimitriadis, E. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1854111 · Cited by 1
Berkhout, R. P., Kostova, E., & van Wely, M. (2026) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005354.pub3 · Cited by 1
Self-citationIdentifying and Addressing Problematic Studies in Allergy and Asthma Research: A Commentary
Chu, A. W. L., Guyatt, G. H., Busse, J. W., Brignardello‐Petersen, R., Chu, X., Rayner, D. G., Oykhman, P., Wong, V., Roldán, Y., Baker, D. R., et al. (2026) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2026.08.021 · Cited by 1
Celebrating 30 years at Human Reproduction Update
Sunde, A. S., & van Wely, M. (2024) · Human Reproduction Update · doi:10.1093/humupd/dmae035 · Cited by 1
Self-citation
Metadata
- Authors
- Mol, B. W., Lai, S., Rahim, A., Bordewijk, E. M., Wang, R., Eekelen, R. V., Gurrin, L. C., Thornton, J. G., Wely, M. V., & Li, W.
- Affiliations
- University of Aberdeen (GB)
- Monash University (AU)
- Amsterdam UMC Location University of Amsterdam (NL)
- Amsterdam UMC, location AMC
- The University of Melbourne (AU)
- University of Nottingham (GB)
- Corresponding author
- Gurrin, Lyle C
- Venue
- Research Integrity and Peer Review
- Publisher
- Research Square Platform LLC
- Published
- 2023-01-11
- Volume
- 8
- Issue
- 1
- Pages
- 6-6
- ISSN
- 2058-8615 (ISSN-L)
- PMC
- PMC10280869
- OpenAlex
- W4381250920
- Cited by
- 149
- References
- 24
- Citations by year
- 2026: 46 · 2025: 47 · 2024: 42 · 2023: 14
- FWCI
- 27.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Research Integrity and Peer Review (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Health Sciences › Nursing › Issues, ethics and legal aspects › Pharmaceutical industry and healthcare
- Social Sciences › Education › Academic integrity and plagiarism
- Keywords
- trustworthiness assessment, randomized controlled trials, screening tool, research integrity, questionable research practices, peer review, individual patient data, dropout rates
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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