in poor implementation of blinding in clinical trials. Furthermore, failure of blinding is rarely measured or reported. Research showing the failure of blinding in antidepressant trials has led some scientists to argue that antidepressants are no better than placebo. In light of meta-research showing failures of blinding, CONSORT standards recommend that all clinical trials assess and report the quality of blinding. Studies have shown that systematic reviews of existing research evidence are sub-optimally used in planning a new research or summarizing the results. Cumulative meta-analyses of studies evaluating the effectiveness of medical interventions have shown that many clinical trials could have been avoided if a systematic review of existing evidence was done prior to conducting a new trial. For example, Lau et al. analyzed 33 clinical trials (involving 36974 patients) evaluating the effectiveness of intravenous streptokinase for acute myocardial infarction. Their cumulative meta-analysis demonstrated that 25 of 33 trials could have been avoided if a systematic review was conducted prior to conducting a new trial. In other words, randomizing 34542 patients was potentially unnecessary. One study analyzed 1523 clinical trials included in 227 meta-analyses and concluded that "less than one quarter of relevant prior studies" were cited. They also confirmed earlier findings that most clinical trial reports do not present systematic review to justify the research or summarize the results. Many treatments used in modern medicine have been proven to be ineffective, or even harmful. A 2007 study by John Ioannidis found that it took an average of ten years for the medical community to stop referencing popular practices after their efficacy was unequivocally disproven. Psychology Metascience has revealed significant problems in psychological research. The field suffers from high bias, low reproducibility, and widespread misuse of statistics. The replication crisis affects psychology more strongly than any other field; as many as two-thirds of highly publicized findings may be impossible to replicate. Meta-research finds that 80-95% of psychological studies support their initial hypotheses, which strongly implies the existence of publication bias. The replication crisis has led to renewed efforts to re-test important findings. In response to concerns about publication bias and p-hacking, more than 140 psychology journals have adopted result-blind peer review, in which studies are pre-registered and published without regard for their outcome. An analysis of these reforms estimated that 61 percent of result-blind studies produce null results, in contrast with 5 to 20 percent in earlier research. This analysis