September 7, 2026 · Critical care medicine · DOI: 10.1097/CCM.0000000000007340

Ethical and Methodological Features of Cluster Randomized Trials in Critical Care Settings: A Systematic Review

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The authors aimed to describe the ethical and methodological features of cluster randomized trials (CRTs) conducted in critical care settings, highlighting the complexities involved in this research design. Their systematic review of 102 CRTs revealed significant ethical and methodological shortcomings, including issues with consent processes and trial registration, suggesting a need for improved reporting standards and adherence to ethical frameworks to enhance the integrity of CRTs in critical care research.

Eric Walser, Cory E Goldstein, Julia F Shaw, Hana Geres, Alla Iansavitchene, Kusum Menon, Simon Pupulin, Marat Slessarev, Monica Taljaard, Charles Weijer

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