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Abstract Objective To investigate the extent and qualitatively synthesize open science practices within research published in the top five sports medicine journals from 01 May 2022 and 01 October 2022. Design Meta-research systematic review Data Sources MEDLINE Eligibility Criteria Studies were included if they were published in one of the identified top five sports medicine journals as ranked by Clarivate. Studies were excluded if they were systematic reviews, qualitative research, grey literature, or animal or cadaver models. Results 243 studies were included. The median number of open science practices met per study was 2, out of a maximum of 12 (Range: 0-8; IQR: 2). 234 studies (96%, 95% CI: 94-99) provided an author conflict of interest statement and 163 (67%, 95% CI: 62-73) reported funding. 21 studies (9%, 95% CI: 5-12) provided open access data. 54 studies (22%, 95% CI: 17-included a data availability statement and 3 (1%, 95% CI: 0-3) made code available. 76 studies (32%, 95% CI: 25-37) had transparent materials and 30 (12%, 95% CI: 8-16) included a reporting guideline. 28 studies (12%, 95% CI: 8-16) were pre-registered. 6 studies (3%, 95% CI: 1-4) published a protocol. 4 studies (2%, 95% CI: 0-3) reported the availability of an analysis plan. 7 studies (3%, 95% CI: 1-5) reported patient and public involvement. Conclusion Sports medicine open science practices are extremely limited. The least followed practices were sharing code, data, and analysis plans. Without implementing open practices, barriers concerning the ability to aggregate findings and create cumulative science will continue to exist. What is already known Open science practices provide a mechanism for evaluating and improving the quality and reproducibility of research in a transparent manner, thereby enhancing the benefits to patient outcomes and society at large. Understanding the current open science practices in sport medicine research can assist in identifying where and how sports medicine leadership can raise awareness, and develop strategies for improvement. What are the new findings No study published in the top five sports medicine journals met all open science practices Studies often only met a small number of open science practices Open science practices that were least met included providing open access code, data sharing, and the availability of an analysis plan.
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