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. 2023 Jun 28;110(10):1300–1308. doi: 10.1093/bjs/znad160

Table 2.

Top 10 countries by absolute and relative volume of published surgical randomized trials

Top 10 by absolute volume of surgical RCTs* Top 10 by relative volume of surgical RCTs per 10 million inhabitants
Rank 1999 (n = 300) 2009 (n = 450) 2019 (n = 438) Rank 1999 (n = 300) 2009 (n = 450) 2019 (n = 438)
1 USA 65 (21.7) USA 52 (11.6) China 81 (18.5) 1 Denmark 23.9 Finland 19.0 Finland 23.5
2 Italy 31 (10.3) China 40 (8.9) USA 50 (11.4) 2 Finland 17.1 Netherlands 10.8 Netherlands 15.8
3 UK 30 (10.0) UK 39 (8.7) Japan 36 (8.2) 3 Sweden 15.5 Ireland 10.6 Denmark 10.4
4 Japan 24 (8.0) Italy 37 (8.2) Netherlands 27 (6.2) 4 Netherlands 8.0 Sweden 9.9 Switzerland 9.3
5 Germany 21 (7.0) Germany 34 (7.6) Korea 20 (4.6) 5 Australia 5.8 Switzerland 9.1 Norway 9.3
6 Sweden 14 (4.7) Japan 26 (5.8) Egypt 18 (4.1) 6 Switzerland 5.5 Austria 7.3 Sweden 8.0
7 Denmark 13 (4.3) Turkey 26 (5.8) Italy 16 (3.7) 7 Italy 5.4 Greece 6.5 Estonia 7.5
8 Netherlands 13 (4.3) India 19 (4.2) UK 15 (3.4) 8 UK 5.1 UK 6.2 Lithuania 7.2
9 Australia 11 (3.7) Netherlands 18 (4.0) Spain 15 (3.4) 9 Singapore 4.6 Italy 6.0 Bahrain 6.09
10 Finland 9 (3.0) Egypt 15 (3.3) Finland 13 (3.0) 10 Greece 4.5 Norway 4.2 Bosnia 6.05

*Values are n (%).