A major problem faced by patients is not that clinical trial information is hard to understand for patients it is that many key clinical trial results are being kept from patients. Clinical trial results for different treatments are a challenge to compare because so much data is missing. For example, in oncology clinical trials a large percentage of sponsors fail to give the complete response rates. A lack of uniformity is the other major problem. For example conversions are required to compare survival rates which are provided in months, weeks and days. U.S. school systems provide report cards for their schools that provide key measures in consistent form making comparisons easy. Clinical trials should do the same. Sponsors that hide data can make their trials look better than they are while sponsors that are transparent can look poor in comparison. A grading system on how well sponsors provide useful information could be used to reward sponsors that provide good data and warn patients about sponsors with a history of hiding information.

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