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Enhancing Consistency and Quality of Physical Therapy Care Delivery through Raising the Bar in Randomized Controlled Tri

This article discusses the importance of improving the standards of RCTs in physical therapy to enhance the consistency and quality of care delivery. It highlights the current process, challenges, and proposed changes in reviewing RCTs.

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Enhancing Consistency and Quality of Physical Therapy Care Delivery through Raising the Bar in Randomized Controlled Tri

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  1. Physical Therapy

  2. Goal for “Raising the Bar” for RCT Enhance consistency and quality of care delivery Craik RL, Maher C. Still “Not Satisfied”…Yet. Phys Ther2008;88:423-425.

  3. PTJ History for RCT Standards • Consolidated Standards of Reporting • January 1, 2008 • Clinical Trial Registration & • CONSORT for nonpharmacologic trials • April 2008 • New Review Process for RCTs • May 2012

  4. Craik RL. PTJ Adopts a new procedure for review of RCTs. PTJ 2012; 92:642-43.

  5. Craik RL. PTJ Adopts a new procedure for review of RCTs. PTJ 2012; 92:642-43

  6. Craik RL. PTJ Adopts a new procedure for review of RCTs. PTJ 2012; 92:642-43

  7. Current Process: • RCT Team EBM (in either EBM or Reviewer role) • Receives clinical trial registration # • Responsible for checking description of trial in the clinical trial registry • We are not sharing the registry number with the other reviewers.

  8. PTJ Research Reports

  9. 2012 thus far • 47 RCTs submitted • 36% - immediately rejected • enrollment prior to registration • lack of registration • fatal flaws in methods • 26% - reject after first round of review • Of those RCTs with a final decision as of this date: 85% rejected

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