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Record W4409483503 · doi:10.1136/bmj-2024-081124

CONSORT 2025 explanation and elaboration: updated guideline for reporting randomised trials

2025· article· en· W4409483503 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBMJ · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicDelphi Technique in Research
Canadian institutionsImpactUniversity of AlbertaRobarts Clinical TrialsSt. Joseph’s Healthcare HamiltonHospital for Sick ChildrenOttawa HospitalMcMaster UniversityWomen's College HospitalUniversity of Toronto
Fundersnot available
KeywordsElaborationConsolidated Standards of Reporting TrialsGuidelineComputer scienceMedicineAlternative medicinePathology

Abstract

fetched live from OpenAlex

This is comment on: Hopewell S, et al. CONSORT 2025 explanation and elaboration: updated guideline for reporting randomised trials. BMJ. 2025 Apr 14;389:e081124. https://pubmed.ncbi.nlm.nih.gov/40228832 The CONSORT (2025) statement [1] writes about blinding as follows: “Unblinded outcome assessors may differentially assess subjective outcomes, and unblinded data analysts may introduce bias through the choice of analytical strategies, such as the selection of favourable time points or outcomes and by decisions to remove patients from the analyses. These biases have been well documented,” p.27 in [1]. One of the references to this statement, ref. no. 328, is to the trial by Karlowski, Chalmers et al. (1975) [2]. In the randomized, double-blind, placebo-controlled trial, Thomas Karlowski, Thomas Chalmers et al. observed that 6 g/day vitamin C significantly shortened the duration of colds, yet they concluded “that the effects demonstrated might be explained equally well by a break in the double blind.” The Karlowski (1975) trial has been widely used as evidence for the existence of the placebo effect, and also as evidence that the observed effects of vitamin C on the common cold are explained by the placebo effect [3]. However, it was shown already in 1996 that the placebo-effect interpretation of Karlowski, Chalmers, et al. was not valid [4-6].

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.034
metaresearch head score (Gemma)0.075
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.816
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0340.075
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.297
GPT teacher head0.582
Teacher spread0.285 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it