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CONSORT-Children and Adolescents (CONSORT-C) 2026 extension statement: enhancing the reporting and impact of paediatric randomised trials

  • Ami Baba
  • , Maureen Smith
  • , Beth K. Potter
  • , An-Wen Chan
  • , David Moher
  • , Alene Toulany
  • , Amanda Doherty-Kirby
  • , Begonya Nafria Escalera
  • , Catherine Stratton
  • , Chris Gale
  • , Colin Macarthur
  • , Diane Purper-Ouakil
  • , Edmund Juszczak
  • , Eyal Cohen
  • , Giorgio Reggiardo
  • , Jennifer Preston
  • , Jeremie F. Cohen
  • , Julia Upton
  • , Karel Allegaert
  • , Katelynn Boerner
  • Kayur Mehta, Kim An Nguyen, Kimberly Courtney, Lisa Hartling, Menelaos Konstantinidis, Michal Odermarsky, Nancy J. Butcher, Niina Kolehmainen, Patricia E. Longmuir, Peterj Gill, Piet Leroy, Reinhard Feneberg, Ramesh Poluru, Shaun K. Morris, Stefan J. Friedrichsdorf, Tanya Chute Nagy, Terry P. Klassen, Thierry Lacaze-Masmonteil, Wes Onland, Martin Offringa*
*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Appropriately designed, conducted, and reported randomised controlled trials (RCTs) in children and adolescents inform treatment and health-care decisions made by young people, families, researchers, clinicians, regulators, funders, policy makers, and other interest holders. To critically evaluate, interpret, and apply trial results, readers require access to a complete and trans parent report of what was planned, done, and found, taking unique considerations specific to children and adolescents into account. Harmonised guidance based on evidence and consensus is needed to optimise standardised reporting and reduce research waste in paediatric RCTs. As an extension to the Consolidated Standards of Reporting Trials (CONSORT) 2025 statement, the CONSORT-Children and Adolescents (CONSORT-C) 2026 reporting guideline aims to improve the quality and completeness of reporting of paediatric RCTs that involve participants aged 0-19 years. The Enhancing the Quality of Transparency of Health Research (EQUATOR) Network's published framework primarily informed the development of CONSORT-C 2026. A literature review was conducted to generate a list of candidate reporting items. To obtain direct input from young people and family caregivers throughout the project, a Youth Advisory Group and a Family Caregiver Advisory Group were formed. An international Delphi study with a priori consensus thresholds, consensus meeting, group writing of the explanation and elaboration paper, and pilot testing were conducted. CONSORT-C 2026 consists of a checklist with 13 new reporting items, including one youth-generated and six youth-endorsed items; the accompanying explanation and elaboration paper explains all items and offers examples of good reporting. CONSORT-C 2026 can be considered a minimum set of reporting items applicable to paediatric RCT reports reflecting the priorities of clinicians, researchers, young people, family caregivers, and other interest holders. Widespread implementation and uptake of CONSORT-C 2026 should optimise the usability of trial results for these populations, improve the reproducibility of trial results, and reduce research waste.
Original languageEnglish
Pages (from-to)297-308
Number of pages12
JournalLancet child & adolescent health
Volume10
Issue number4
Early online date1 Mar 2026
DOIs
Publication statusPublished - 1 Apr 2026

Keywords

  • CLINICAL-TRIALS
  • HEALTH RESEARCH
  • GUIDELINES
  • CHALLENGES
  • OUTCOMES

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