A Scoping Review of Win Ratio Methodology Applications in Clinical Trials: Implementation, Reporting Standards, and Best Practices

The win ratio methodology, introduced by Pocock et al. in 2012, offers an innovative approach to analyzing composite endpoints in clinical trials by allowing prioritization of outcomes according to their clinical importance. As adoption of this statistical method increases across different clinical domains, a systematic assessment of implementation practices and reporting standards is necessary to guide future applications and methodological refinements.