However, in terms of the mean percentage of reported CONSORT items, a steady improvement of reporting quality was found in recent years.
Consequently, we hypothesize that fact that not many journals require authors to use STARD may be one of the causes behind the lack of improvement of reporting of diagnostic studies over time.
Finally, we encourage the improvement of reporting of diagnostic accuracy studies, following the STARD guidelines (Bossuyt et al, 2003a, 2003b).
In the Darjeeling district of the same state, improvement of reporting between 2000 and 2004 led to a 10 fold increase in five years [ 8].
The panelists identified nine other elements: access to information, informed understanding, equity, transparency, public accountability, multi-stakeholder collaboration, legitimacy, quality of information, and the evaluation and continuous quality improvement of reporting.
See related research by Barra and Joffe, http://ccforum.com/content/18/1/R15 We agree with Bara and Joffe that there is a need for improvement of reporting quality in animal research (AR) [ 1].
As regards to the establishment and improvement of the report and monitoring system for children with developmental delay, these also depend on the attention from the government and the vigorous promotion of the government.
It is probably a consequence of its widespread use that CONSORT has already been proven effective: A meta-analysis including 248 articles clearly demonstrated an improvement of the reporting of RCTs by the adoption of this tool [49].
Given the complexity of the context, research into CSR reporting in China needs to take into account the specific aspects of Chinese politics and culture in order to provide a nuanced understanding, and ultimately an improvement, of CSR reporting activities.
