Skills Data Science Clinical Display Item Guidelines

Clinical Display Item Guidelines

v20260724
nejm-figures-tables
This comprehensive guide outlines best practices for creating key clinical display items, including Table 1 (baseline characteristics), Kaplan-Meier curves, Forest Plots, and CONSORT diagrams. It emphasizes statistical rigor (e.g., using standardized differences instead of P values for baseline), ensuring numbers-at-risk, and maintaining consistency across all reporting elements for high-impact medical publications.
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Overview

Clinical Display Items (nejm-figures-tables)

When to trigger

  • Table 1 reports P values comparing randomized groups (current guidance discourages this).
  • A Kaplan–Meier plot has no numbers-at-risk row.
  • Subgroup results are in text rather than a forest plot.
  • The RCT lacks a CONSORT flow diagram, or its denominators don't reconcile.

Table 1 — baseline characteristics by group

Table 1 describes the baseline characteristics of the enrolled population, by group.

  • Columns are the randomized/study groups (and often an overall column); rows are characteristics (demographics, key clinical variables, disease severity).
  • Do not report P values comparing baseline characteristics in a randomized trial — by design, baseline differences are due to chance. Current guidance is to report standardized differences if balance must be summarized.
  • Report continuous variables as mean (SD) or median (IQR) per the distribution; categorical as n (%).
  • Denominators must match the analysis populations and the CONSORT flow diagram.

Kaplan–Meier curves (time-to-event)

  • Show the survival/event curves per group over the follow-up period.
  • A numbers-at-risk row beneath the time axis is required — readers must see how many remain at each time point.
  • Consider showing the hazard ratio with 95% CI and the log-rank/Cox result on the panel.
  • Censor marks or a clear censoring description; cumulative-incidence curves when competing risks matter.
  • Do not extend curves into time ranges where almost no one remains at risk.

Forest plots (subgroups & meta-analyses)

  • For subgroup analyses: one row per pre-specified subgroup, the effect estimate with 95% CI, and the interaction P value (see nejm-statistics). A reference line at the null. Make clear which subgroups were pre-specified.
  • For meta-analyses: per-study estimates with CIs, weights, the pooled estimate (diamond), and heterogeneity (I², τ²).
  • Keep the scale honest (log scale for ratio measures); annotate which direction favors which arm.

CONSORT participant flow diagram (RCTs)

The flow diagram is mandatory for trials (see nejm-reporting): Enrollment → Allocation → Follow-up → Analysis, with excluded/lost numbers and reasons at each stage. Its numbers must reconcile with Table 1 and the analysis populations.

Figure specifications

  • Legible at print size; sans-serif labels; avoid tiny fonts and hairlines.
  • Show uncertainty: CIs on estimates, error bars defined in the legend, numbers-at-risk on K–M.
  • Colorblind-safe palette; do not encode group by color alone (use line style/markers too).
  • Each legend stands alone: what is shown, the groups, the statistic, n, and the error/CI definition.
  • De-identify any patient images; remove protected health information from all panels (see nejm-ethics).

Display-item budget and placement

The ~2700-word Original Article format imposes a hard display-item budget. Main-paper slots go to what a clinician needs to judge the trial: Table 1, the primary-outcome figure (often Kaplan–Meier), the subgroup forest plot, and a safety table. Everything else moves to the supplementary appendix — which NEJM reviewers do read.

  • Every display item is cited in the text, in numerical order; an uncited item gets cut.
  • One message per figure — split or simplify a panel that needs a paragraph of caption.
  • Safety tables report absolute event counts and rates per arm (see nejm-statistics).

Worked micro-example — one Table 1 row (before → after)

  • Before (off-style): Age, years | 63.4 | 62.9 | P=0.71
  • After: Age — yr, mean ±SD | 63.4±9.2 | 62.9±9.5 — the P column deleted; the unit riding in the row label. If balance must be summarized, a standardized-difference column replaces the P column — never both. (Values invented for illustration.)

Output format

【Table 1】 by group, n(%)/mean(SD)/median(IQR), NO baseline P values (standardized diffs ok)? yes/no
【Budget】 main paper limited to decision-critical items; appendix items still cited in order? yes/no
【Kaplan–Meier】 numbers-at-risk row present? HR+CI shown? censoring clear? yes/no
【Forest plot】 subgroups pre-specified + interaction P? / meta heterogeneity reported? yes/no
【CONSORT flow diagram】 present and reconciles with Table 1 + analysis n? yes/no
【Figure specs】 CIs shown / colorblind-safe / legends standalone / de-identified? yes/no
【Fixes】 [...]
【Next】 nejm-ethics

Anti-patterns

  • Do not put P values on baseline-comparison rows of Table 1 in a randomized trial.
  • Do not show a Kaplan–Meier curve without a numbers-at-risk row.
  • Do not bury subgroup results in prose — use a forest plot with interaction tests.
  • Do not let the CONSORT flow numbers disagree with Table 1 or the analyzed populations.
  • Do not display identifiable patient images or PHI.
Info
Category Data Science
Name nejm-figures-tables
Version v20260724
Size 5.16KB
Updated At 2026-07-28
Language