RT Journal Article A1 Wang, Shirley V. A1 Schneeweiss, Sebastian T1 Data Checks Before Registering Study Protocols for Health Care Database Analyses JF JAMA JO JAMA YR 2024 DO 10.1001/jama.2024.2988 VO 331 IS 17 SP 1445 OP 1446 SN 0098-7484 AB Many of the reasons why preregistration of randomized clinical trials (RCTs) has been embraced are also equally relevant for real-world evidence studies. The fear that preliminary looks at study results may motivate changes in study design is amplified in real-world evidence studies that use electronic health records or insurance claims. This is because data on the study end points are usually already collected at the time of study conception.Professional societies and regulators recommend that protocols for real-world evidence studies on treatment effects be preregistered on repositories that provide time stamps and a persistent identifier (eg, osf.io/registries/rwe or ClinicalTrials.gov). Depositing a fully specified protocol at the time of registration addresses the concern that investigators who are unhappy with study findings may change study parameters to obtain more desirable results. RD 5/20/2024 UL https://doi.org/10.1001/jama.2024.2988