CONSORT 2010 · 25-Item Checklist · Required by NEJM, BMJ, JAMA, Lancet

CONSORT Checklist — RCT Reporting Template

The CONSORT (Consolidated Standards of Reporting Trials) 2010 checklist is the international standard for reporting randomised controlled trials, required by all major medical journals including NEJM, BMJ, JAMA, and the Lancet.

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The 25 CONSORT 2010 Checklist Items

Schulz et al., BMJ 2010;340:c332 · JAMA 2010;303(6):598–605.

#Section / TopicWhat to report
1aTitleIdentification as randomised trial in the title.
1bAbstractStructured summary of trial design, methods, results, and conclusions (CONSORT abstract format).
2aBackgroundScientific background and explanation of rationale for the trial.
2bObjectivesSpecific objectives or hypotheses.
3aTrial designDescription of trial design (parallel, factorial, etc.), including allocation ratio.
3bChanges to designImportant changes to trial design after commencement, with reasons.
4aParticipantsEligibility criteria for participants and settings and locations of data collection.
5InterventionsSufficient detail to allow replication: what was given, to whom, how, and when.
6aOutcomesPre-specified primary and secondary outcome measures with timepoints.
7aSample sizeHow sample size was determined.
8aRandomisation — sequenceMethod used to generate the random allocation sequence.
8bRandomisation — typeType (simple, block, stratified) and any restriction details.
9Allocation concealmentMechanism used to implement the random allocation sequence (central allocation, sequentially numbered containers, etc.).
10ImplementationWho generated the allocation sequence, enrolled participants, and assigned participants to interventions.
11aBlindingIf done, who was blinded after assignment to interventions.
12aStatistical methodsMethods for primary and secondary outcomes, including multiplicity adjustments.
13aParticipant flowNumbers randomised, receiving treatment, completing follow-up, analysed for primary outcome.
14aRecruitmentDates defining the periods of recruitment and follow-up.
15Baseline dataDemographic and clinical characteristics of each group.
16Numbers analysedNumber of participants in each group included in each analysis, whether intention-to-treat.
17aOutcomes and estimationResults for each primary and secondary outcome, including estimated effect size and precision (95% CI).
18Ancillary analysesSubgroup analyses and adjusted analyses, distinguishing pre-specified from exploratory.
19HarmsAll important harms or unintended effects in each group.
20LimitationsTrial limitations, sources of potential bias, and imprecision.
21GeneralisabilityGeneralisability (external validity, applicability) of the trial findings.
22InterpretationInterpretation consistent with results, balancing benefits and harms, considering other evidence.
23RegistrationRegistration number and registry name.
24ProtocolWhere the full trial protocol can be accessed.
25FundingSources of funding and other support; role of funders.

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CONSORT reporting tips

Does CONSORT require a CONSORT flow diagram?

Yes — item 13 requires a participant flow diagram showing numbers at each stage: assessed for eligibility, excluded (with reasons), randomised, received allocated intervention, lost to follow-up, and analysed. CliniDraft generates a text description that you can use to create the diagram in a drawing tool.

What is the difference between per-protocol and intention-to-treat analysis?

Intention-to-treat (ITT) analysis includes all randomised participants in their assigned group regardless of adherence — this preserves randomisation and is the primary analysis in most RCTs. Per-protocol analysis includes only those who adhered to the protocol. Both should be reported; the difference indicates the impact of non-adherence.

Does my trial need to be registered before submission?

Yes. ICMJE-member journals (NEJM, BMJ, JAMA, Lancet, and 600+ others) require prospective trial registration before the first participant is enrolled. ClinicalTrials.gov, ANZCTR, ISRCTN, and WHO-registered primary registries are all acceptable. CliniDraft also has a ClinicalTrials.gov registration template.

Related templates: CARE case report checklist · PRISMA-P systematic review protocol · IRB protocol template (ICH-GCP)