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And with regard to reporting of results on ClinicalTrials.gov, the authors found that only 13% of trials that were registered, completed and led by the faculty of an academic medical center reported results within 24 months of completion.

The report's authors marked this effort as a "poor performance", noting that despite the "ethical mandate and expressed values and mission of academic institutions," there is simply too much variation in the reporting of clinical trial results across leading academic medical centers.

Krumholz told MedPage Today: "We were surprised to find that no one is doing well. The fact that it's so pervasive suggests it's not about bad individuals, it's about a culture that allows for reporting to be discretionary rather than mandatory."

Previous studies have shown that between 25% and 50% of clinical trials remain unpublished, sometimes years after completion.

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