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Results for https://cochranelibrary.com

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Spain Spain · Madrid Completed: Apr 22, 2026 20:06 UTC
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Mobile 375 × 812

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Desktop 1440 × 900

Screenshot of the audited page (Desktop 1440×900)
C70

Site Health

Score: 70 / 100

Based on 8 categories, 0 sections

Decent speed, but optimizing further could improve engagement.

Several missing protections leave your users and data exposed.

Several issues make your site difficult for assistive technology users.

Missing signals may be hurting your search visibility.

Solid infrastructure — fast server responses across the board.

Mostly compliant — a few items need attention.

Missing metadata means poor previews on social media and search.

Lean and efficient — low environmental impact per visit.

How is this calculated?

The overall score is a weighted average of individual category scores. Categories with more impact on user experience and security carry more weight.

Performance 25%Security 25%Accessibility 15%SEO 10%Infrastructure 10%Compliance 8%Content 5%Sustainability 2%

Weights reflect general web best practices. Individual needs may differ.

How the composite score is calculated

How you compare

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Cloudflare Bot Management · 368 peers
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Top Priorities (5)

1

Content-Security-Policy header is missing

Security gaps expose your site and users to attacks, eroding trust.

Security › Security Headers
2

HSTS header is missing

Security gaps expose your site and users to attacks, eroding trust.

Security › Security Headers
3

No Content-Security-Policy header found

Security gaps expose your site and users to attacks, eroding trust.

Security › Content Security Policy
4

118 third-party resources (100% of weight)

Performance issues directly impact user engagement and conversion rates.

Performance › Page Weight Inventory
5

119 HTTP requests — consider bundling or reducing

Performance issues directly impact user engagement and conversion rates.

Performance › Page Weight Budget
View fix priority matrix

Fix Priority Matrix

5 findings

Quick Wins

3

High impact, low effort — start here.

Strategic

2

High impact, requires investment.

Easy Improvements

0

Small gains, minimal effort.

Nothing in this quadrant — good news.

Deprioritize

0

Low impact, high effort — do last.

Nothing in this quadrant — good news.

← Low effort High effort →
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What fixing these means

Your site performs reasonably well, but a few targeted fixes could meaningfully improve results. Your LCP of 8.2s exceeds Google's 2.5s 'Good' threshold and the 2 performance issues below directly contribute to it. The 3 security gaps leave your users exposed — modern browsers increasingly warn visitors about insecure sites. Addressing the critical issues below would have the most immediate impact on your user trust.

3 security gaps detected — browsers may warn visitors about your site.
Your LCP is 8.2s — fixing the 2 performance criticals could bring it under Google's 2.5s 'Good' threshold.

Conversion Barriers

3 critical 7 warning

10 barrier(s) likely increasing bounce by ~34%.

Speed (2)

Page takes 8.2s to load

+12% bounce

Users abandon at ~3s — you're 5.7s over the 2.5s threshold

Fix: Optimize render-blocking resources, preload the hero image, and compress images

Page feels frozen for 817ms

+5% bounce

Clicks on the primary CTA are ignored while JavaScript runs

Fix: Break up long tasks; defer non-critical JavaScript to post-hydration

Trust (2)

No HSTS header

+1% bounce

Returning visitors are briefly exposed to downgrade attacks on first request

Fix: Set Strict-Transport-Security: max-age=31536000; includeSubDomains

No Content-Security-Policy header

+1% bounce

Higher XSS blast radius — one compromised script can exfiltrate the checkout form

Fix: Ship a reporting-only CSP first, then enforce once violations are clean

Usability (1)

Severe layout shift during page load

+6% bounce

Users mis-click when content jumps — converting intent into frustration

Fix: Reserve space for images, ads, and embeds with explicit width/height

Content (4)

No Open Graph tags

+2% bounce

Links shared on LinkedIn / Slack / Facebook show bare URLs — referral clicks drop

Fix: Add og:title, og:description, og:image, og:url to the page head

No structured data

+2% bounce

No rich-result eligibility in Google — lower SERP CTR vs competitors with stars and prices

Fix: Add JSON-LD for your page type (Product, Article, FAQPage, LocalBusiness, …)

Thin content

+3% bounce

Under 300 words — visitors bounce looking for substance, search engines rank competitors first

Fix: Add a substantive FAQ, product detail, or case-study section

Content is hard to read

+2% bounce

Graduate-level reading difficulty — limits the addressable audience for product or blog pages

Fix: Shorten sentences; replace jargon with plain language; target Flesch ease ≥60

Navigation (1)

No skip-to-content link

+1% bounce

Keyboard and screen-reader users must tab through the entire header on every page

Fix: Add a visible-on-focus <a href="#main">Skip to content</a> as the first focusable element

Preliminary CRO audit — each barrier links to the tab with detailed analysis.

Return on Investment

$550 investment → $5,884/month returns + USD 150,000 risk avoided

Payback period: < 1 month First-year ROI: +12737%

Investment

$550

6h · 5 findings

Monthly returns

$5,884 /mo

~$70,605 / year

  • Conversions recovered $5,883
  • Bandwidth savings $0.47

Regulatory risk avoided

USD 150,000

if kept compliant

  • ADA Title III USD 150,000

Payback period

0 12mo 24mo

$150 — in quick wins — start here for the fastest payback

Figures combine localized regulatory fine ceilings, search/conversion value priced against local CPC, and bandwidth waste estimates. Results depend on implementation quality and audience composition. Not legal or financial advice.

Full methodology & sources

Estimated Remediation Cost

$550

5.5 developer hours at $100/hr

Based on United States rates ($100/hr)

Quick wins
$150 3 fixes in ~90 minutes

Start here for the best return on investment

Cost by category

Cost by effort level

Adjust assumptions
$ /hr

Rates reflect fully-loaded developer cost including overhead

How developer rates are sourced

What Inaction Is Costing You

$12,500 / month at risk

~$150,006 / year if left unfixed

Compliance Risk

$150,000

ADA Title III
  • No <nav> landmark found
    ADA Title III: USD 25,000 – USD 150,000
  • Skip navigation link is missing (WCAG 2.4.1)
    ADA Title III: USD 25,000 – USD 150,000

Bandwidth Waste

$0.47 /mo

5849.7 MB/mo × 0.080 USD/GB

  • Optimize transfer: save ~585 KB per page load
    Saves $0.47/mo

Compliance figures represent the statutory maximum fine for the most severe triggered category, capped per regulation — not the sum of per-finding penalties. Based on published regulatory fine ranges. This is not legal advice.

Compliance methodology · SEO assumptions · Bandwidth model

Your performance is already good — improvements may show diminishing returns

Unique monthly visitors from your analytics

Purchases, signups, or key actions

Optional — for revenue estimation

additional conversions/month

more engaged visitors from reduced bounce

potential monthly revenue
Current bounce (est.)
After fixes (est.)
Estimated bounce reduction

Fix 3 critical issues to capture this value

How this is calculated

Based on Google/Deloitte research ("Milliseconds Make Millions") showing a ~7% bounce rate increase per additional second of LCP above the 2.5s "Good" threshold.

Your site's LCP: → estimated after fixes.

These are estimates based on industry research — actual results vary

Bounce-rate model & assumptions

Your data stays in your browser — nothing is sent to our servers

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Lighthouse Scores

Industry-standard audits powered by Google Lighthouse.

17
Performance Overall performance score (0–100) based on Core Web Vitals and other metrics. 90+ is good.
94
Accessibility Measures how accessible the page is for users with disabilities. Checks color contrast, ARIA labels, and semantic HTML.
73
Best Practices Checks for modern web development best practices including HTTPS, no console errors, and secure JavaScript.
83
SEO Measures basic SEO optimizations: meta tags, crawlability, link text, and mobile friendliness.

Core Web Vitals

Key metrics that affect user experience.

First Contentful Paint First Contentful Paint — how long until the browser renders the first piece of content. Under 1.8s is good.

5.23 s

Largest Contentful Paint Largest Contentful Paint — how long until the largest visible element loads. Under 2.5s is good.

8.22 s

Total Blocking Time Total Blocking Time — total time the main thread was blocked, preventing user input. Under 200ms is good.

817 ms

Cumulative Layout Shift Cumulative Layout Shift — measures visual stability. How much the page layout shifts during loading. Under 0.1 is good.

0.895

Speed Index Speed Index — how quickly content is visually displayed during load. Under 3.4s is good.

6.17 s

Time to Interactive Time to Interactive — how long until the page is fully interactive and responds to user input. Under 3.8s is good.

13.50 s

Detailed Report

Audit breakdown by category with detailed findings.

17

Performance

Insights

Remove large, duplicate JavaScript modules from bundles to reduce unnecessary bytes consumed by network activity.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Polyfills and transforms enable older browsers to use new JavaScript features. However, many aren't necessary for modern browsers. Consider modifying your JavaScript build process to not transpile Baseline features, unless you know you must support older browsers. Learn why most sites can deploy ES6+ code without transpiling

Why this matters

Shipping ES5 transpiled code to modern browsers wastes bytes — every user with an evergreen browser pays for compatibility you don't need.

Learn more

Most users today run browsers that natively support ES6+, async/await, optional chaining, and the rest of modern JavaScript. Transpiling to ES5 'just in case' adds 20-40% to your bundle for no benefit. Configure your build to target a modern browserslist, or ship a differential bundle pair (modern + legacy) with the module/nomodule pattern.

Source: Google web.dev / Lighthouse

3rd party code can significantly impact load performance. Reduce and defer loading of 3rd party code to prioritize your page's content.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Layout shifts occur when elements move absent any user interaction. Investigate the causes of layout shifts, such as elements being added, removed, or their fonts changing as the page loads.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:node label:Element subItemsHeading:map[key:extra] valueType:node] map[granularity:0.001 key:score label:Layout shift score subItemsHeading:map[key:cause valueType:text] valueType:numeric]]
items: [map[node:map[type:text value:Total] score:0.8952819999999999] map[node:map[boundingRect:map[bottom:1524 height:1167 left:10 right:402 top:357 width:392] lhId:page-5-DIV nodeLabel:Scientific Strategy Maternal, newborn and child health Multiple chronic conditi… path:5,HTML,3,BODY,2,DIV,6,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,DIV,2,DIV selector:div.homepage-upper-content-wrapper > div#homepage-upper-content > div#layout-column_homepage-upper-content > div#p_p_id_56_INSTANCE_z9ZXcO5iSFG5_ snippet:<div class="portlet-boundary portlet-boundary_56_ portlet-static portlet-static-end p…" id="p_p_id_56_INSTANCE_z9ZXcO5iSFG5_"> type:node] score:0.421698 subItems:map[items:[map[cause:Web font extra:map[type:url value:https://fonts.gstatic.com/s/sourcesanspro/v23/6xK3dSBYKcSV-LCoeQqfX1RYOo3qOK7lujVj9w.woff2]] map[cause:Web font extra:map[type:url value:https://fonts.gstatic.com/s/sourcesanspro/v23/6xKydSBYKcSV-LCoeQqfX1RYOo3ig4vwlxdu3cOWxw.woff2]] map[cause:Web font extra:map[type:url value:https://fonts.gstatic.com/s/sourcesanspro/v23/6xKydSBYKcSV-LCoeQqfX1RYOo3i54rwlxdu3cOWxw.woff2]]] type:subitems]] map[node:map[boundingRect:map[bottom:948 height:260 left:10 right:402 top:687 width:392] lhId:page-10-ARTICLE nodeLabel:Multiple chronic conditions path:5,HTML,3,BODY,2,DIV,6,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,DIV,2,DIV,1,SECTION,1,DIV,0,DIV,0,DIV,0,DIV,0,DIV,1,SECTION,1,ARTICLE selector:div.journal-content-article > div.mini-hero-section > section.mini-hero-wrapper > article.mini-hero snippet:<article class="mini-hero"> type:node] score:0.363172] map[node:map[boundingRect:map[bottom:1524 height:1167 left:10 right:402 top:357 width:392] lhId:page-5-DIV nodeLabel:Scientific Strategy Maternal, newborn and child health Multiple chronic conditi… path:5,HTML,3,BODY,2,DIV,6,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,DIV,2,DIV selector:div.homepage-upper-content-wrapper > div#homepage-upper-content > div#layout-column_homepage-upper-content > div#p_p_id_56_INSTANCE_z9ZXcO5iSFG5_ snippet:<div class="portlet-boundary portlet-boundary_56_ portlet-static portlet-static-end p…" id="p_p_id_56_INSTANCE_z9ZXcO5iSFG5_"> type:node] score:0.110412 subItems:map[items:[map[cause:Unsized image element extra:map[boundingRect:map[bottom:636 height:218 left:11 right:401 top:418 width:390] lhId:page-2-IMG nodeLabel:Maternal, path:5,HTML,3,BODY,2,DIV,6,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,DIV,2,DIV,1,SECTION,1,DIV,0,DIV,0,DIV,0,DIV,0,DIV,1,SECTION,0,ARTICLE,0,A,0,DIV,0,IMG selector:article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image snippet:<img src="/image/journal/article?img_id=486670272&amp;t=1774877752093" alt="Maternal," newborn="" and="" child="" health="" class="mini-hero-image"> type:node]]] type:subitems]]]

Your first network request is the most important. Reduce its latency by avoiding redirects, ensuring a fast server response, and enabling text compression.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Consider setting font-display to swap or optional to ensure text is consistently visible. swap can be further optimized to mitigate layout shifts with font metric overrides.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Reducing the download time of images can improve the perceived load time of the page and LCP. Learn more about optimizing image size

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLResource SizeEst Savings
Main Banner Image div.slideshow-container > div.mySlides > a > img
www.cochranelibrary.com/image/journal/article?img_id=488500349&t=177669042773455.9 KiB37.6 KiB
Multiple article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670274&t=177487775217236.2 KiB27.7 KiB
Maternal, article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670272&t=177487775209332.6 KiB24.9 KiB
Climate article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670278&t=177487775232827.0 KiB20.6 KiB
Infectious article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670276&t=177487775225320.4 KiB15.6 KiB

Optimize LCP by making the LCP image discoverable from the HTML immediately, and avoiding lazy-loading

Why this matters

Performance issues directly impact user engagement and conversion rates.

lhId: page-1-IMG
nodeLabel: Multiple
path: 5,HTML,3,BODY,2,DIV,6,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,DIV,2,DIV,1,SECTION,1,DIV,0,DIV,0,DIV,0,DIV,0,DIV,1,SECTION,1,ARTICLE,0,A,0,DIV,0,IMG
selector: article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
snippet: <img src="/image/journal/article?img_id=486670274&amp;t=1774877752172" alt="Multiple" chronic="" conditions="" class="mini-hero-image">

Avoid chaining critical requests by reducing the length of chains, reducing the download size of resources, or deferring the download of unnecessary resources to improve page load.

Why this matters

Performance issues directly impact user engagement and conversion rates.

description: [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints help the browser establish a connection earlier in the page load, saving time when the first request for that origin is made. The following are the origins that the page preconnected to.
title: Preconnected origins
value: no origins were preconnected
description: Add [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints to your most important origins, but try to use no more than 4.
title: Preconnect candidates
value: No additional origins are good candidates for preconnecting

These insights are also available in the Chrome DevTools Performance Panel - record a trace to view more detailed information.

Redirects introduce additional delays before the page can be loaded. Learn how to avoid page redirects.

Why this matters

Performance issues directly impact user engagement and conversion rates.

These are the largest layout shifts observed on the page. Each table item represents a single layout shift, and shows the element that shifted the most. Below each item are possible root causes that led to the layout shift. Some of these layout shifts may not be included in the CLS metric value due to windowing. Learn how to improve CLS

Why this matters

Performance issues directly impact user engagement and conversion rates.

ElementLayout shift score
Scientific Strategy Maternal, newborn and child health Multiple chronic conditi… div.homepage-upper-content-wrapper > div#homepage-upper-content > div#layout-column_homepage-upper-content > div#p_p_id_56_INSTANCE_z9ZXcO5iSFG5_
0.422
Multiple chronic conditions div.journal-content-article > div.mini-hero-section > section.mini-hero-wrapper > article.mini-hero
0.363
Scientific Strategy Maternal, newborn and child health Multiple chronic conditi… div.homepage-upper-content-wrapper > div#homepage-upper-content > div#layout-column_homepage-upper-content > div#p_p_id_56_INSTANCE_z9ZXcO5iSFG5_
0.110

Time to Interactive is the amount of time it takes for the page to become fully interactive. Learn more about the Time to Interactive metric.

Why this matters

Performance issues directly impact user engagement and conversion rates.

TTI

The maximum potential First Input Delay that your users could experience is the duration of the longest task. Learn more about the Maximum Potential First Input Delay metric.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Diagnostics

Reduce unused rules from stylesheets and defer CSS not used for above-the-fold content to decrease bytes consumed by network activity. Learn how to reduce unused CSS.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 600 ms 108.8 KiB

Reduce unused JavaScript and defer loading scripts until they are required to decrease bytes consumed by network activity. Learn how to reduce unused JavaScript.

Why this matters

Multi-megabyte JavaScript bundles delay every interactive feature on the page.

Learn more

This is the Lighthouse audit fired when too much JS is shipped relative to what executes. The fix isn't a config flag — it requires bundle analysis (webpack-bundle-analyzer, rollup-plugin-visualizer), splitting routes into chunks, lazy-loading off-screen components, and removing unused dependencies. Fundamentally different from minification: minifying reduces byte count, this reduces what's downloaded at all.

Source: Google web.dev / Lighthouse

Consider reducing the time spent parsing, compiling and executing JS. You may find delivering smaller JS payloads helps with this. Learn how to minimize main-thread work

Why this matters

Performance issues directly impact user engagement and conversion rates.

CategoryTime Spent
Script Evaluation2.3 s
Other850 ms
Style & Layout531 ms
Script Parsing & Compilation256 ms
Parse HTML & CSS213 ms
Rendering72 ms
Garbage Collection68 ms

Many navigations are performed by going back to a previous page, or forwards again. The back/forward cache (bfcache) can speed up these return navigations. Learn more about the bfcache

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failure reasonFailure type
The page has an unload handler in the main frame.Actionable
Pages with cache-control:no-store header cannot enter back/forward cache.Actionable
Pages whose main resource has cache-control:no-store cannot enter back/forward cache.Not actionable
Back/forward cache is disabled because some JavaScript network request received resource with Cache-Control: no-store header.Not actionable

Set an explicit width and height on image elements to reduce layout shifts and improve CLS. Learn how to set image dimensions

Why this matters

Performance issues directly impact user engagement and conversion rates.

URL
Maternal, article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670272&t=1774877752093
Multiple article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670274&t=1774877752172
Infectious article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670276&t=1774877752253
Climate article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670278&t=1774877752328
Main Banner Image div.slideshow-container > div.mySlides > a > img
www.cochranelibrary.com/image/journal/article?img_id=488500349&t=1776690427734
Image 3 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/our_journal.png
Image 2 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/our_evidence.png
Image 4 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/how_to_order.png
Image 5 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/our_products.png
Image 1 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/get_involved.png
Cochrane Library logo div.branding > h1.brand-container > a > img.brand-logo
www.cochranelibrary.com/cochrane-theme/images/en-US_logo.png
Stay connected with us article.alert-content-module > div.button-container > div.alert-module-image-wrapper > img
www.cochranelibrary.com/cochrane-theme/images/social/bell.png
div.brand-content > div.logo-block > a > img.footer-logo div.brand-content > div.logo-block > a > img.footer-logo
www.cochranelibrary.com/cochrane-theme/images/footer-logo-part-2.png
Wiley logo div.brand > div.brand-container > a > img.logo
www.cochranelibrary.com/cochrane-theme/images/en-US_wiley-footer-logo.png
Cochrane logo div.brand-content > div.logo-block > a > img.footer-logo
www.cochranelibrary.com/cochrane-theme/images/footer-logo-part-1.png
article.alert-content-module > div.button-container > a.alert-button > img article.alert-content-module > div.button-container > a.alert-button > img
www.cochranelibrary.com/cochrane-theme/images/social/bluesky-sm.svg

More information about the performance of your application. These numbers don't directly affect the Performance score.

Optimize DOM size
Forced reflow
LCP breakdown
Modern HTTP
Optimize viewport for mobile
Minify CSS
Minify JavaScript
Avoids enormous network payloads Total size was 1,904 KiB
Avoid long main-thread tasks 19 long tasks found
Avoid non-composited animations 2 animated elements found
Network Requests
Network Round Trip Times 30 ms
Server Backend Latencies 210 ms
Tasks
Diagnostics
Metrics
Screenshot Thumbnails
Final Screenshot
Script Treemap Data
Resources Summary
Initial server response time was short Root document took 310 ms
INP breakdown
User Timing marks and measures
94

Accessibility

These checks highlight opportunities to improve the accessibility of your web app. Automatic detection can only detect a subset of issues and does not guarantee the accessibility of your web app, so manual testing is also encouraged.

Navigation

Properly ordered headings that do not skip levels convey the semantic structure of the page, making it easier to navigate and understand when using assistive technologies. Learn more about heading order.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Stay connected with us article.alert-content-module > div.button-container > div.alert-module-image-wrapper > h4

These are opportunities to improve keyboard navigation in your application.

Names and labels

Informative elements should aim for short, descriptive alternate text. Decorative elements can be ignored with an empty alt attribute. Learn more about the `alt` attribute.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
article.alert-content-module > div.button-container > a.alert-button > img article.alert-content-module > div.button-container > a.alert-button > img

These are opportunities to improve the semantics of the controls in your application. This may enhance the experience for users of assistive technology, like a screen reader.

Interactive controls are keyboard focusable
Interactive elements indicate their purpose and state
The page has a logical tab order
Visual order on the page follows DOM order
User focus is not accidentally trapped in a region
The user's focus is directed to new content added to the page
HTML5 landmark elements are used to improve navigation
Offscreen content is hidden from assistive technology
Custom controls have associated labels
Custom controls have ARIA roles
`[aria-*]` attributes match their roles
`[aria-hidden="true"]` is not present on the document `<body>`
`[role]`s have all required `[aria-*]` attributes
`[role]` values are valid
`[aria-*]` attributes have valid values
`[aria-*]` attributes are valid and not misspelled
Buttons have an accessible name
Form elements have associated labels
`[user-scalable="no"]` is not used in the `<meta name="viewport">` element and the `[maximum-scale]` attribute is not less than 5.
ARIA attributes are used as specified for the element's role
Elements with `role="dialog"` or `role="alertdialog"` have accessible names.
`[aria-hidden="true"]` elements do not contain focusable descendents
Elements use only permitted ARIA attributes
Background and foreground colors have a sufficient contrast ratio
Document has a `<title>` element
`<html>` element has a `[lang]` attribute
`<html>` element has a valid value for its `[lang]` attribute
Links are distinguishable without relying on color.
Links have a discernible name
Lists contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
List items (`<li>`) are contained within `<ul>`, `<ol>` or `<menu>` parent elements
No element has a `[tabindex]` value greater than 0
Touch targets have sufficient size and spacing.
Document has a main landmark.
Deprecated ARIA roles were not used
Identical links have the same purpose.
`[accesskey]` values are unique
`button`, `link`, and `menuitem` elements have accessible names
ARIA input fields have accessible names
ARIA `meter` elements have accessible names
ARIA `progressbar` elements have accessible names
Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.
`[role]`s are contained by their required parent element
Elements with the `role=text` attribute do not have focusable descendents.
ARIA toggle fields have accessible names
ARIA `tooltip` elements have accessible names
ARIA `treeitem` elements have accessible names
The page contains a heading, skip link, or landmark region
`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
Definition list items are wrapped in `<dl>` elements
ARIA IDs are unique
No form fields have multiple labels
`<frame>` or `<iframe>` elements have a title
`<html>` element has an `[xml:lang]` attribute with the same base language as the `[lang]` attribute.
Input buttons have discernible text.
`<input type="image">` elements have `[alt]` text
The document does not use `<meta http-equiv="refresh">`
`<object>` elements have alternate text
Select elements have associated label elements.
Skip links are focusable.
Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
`[lang]` attributes have a valid value
`<video>` elements contain a `<track>` element with `[kind="captions"]`
Tables have different content in the summary attribute and `<caption>`.
All heading elements contain content.
Uses ARIA roles only on compatible elements
Image elements do not have `[alt]` attributes that are redundant text.
Elements with visible text labels have matching accessible names.
Tables use `<caption>` instead of cells with the `[colspan]` attribute to indicate a caption.
`<td>` elements in a large `<table>` have one or more table headers.
73

Best Practices

User Experience

Image display dimensions should match natural aspect ratio. Learn more about image aspect ratio.

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLAspect Ratio (Displayed)Aspect Ratio (Actual)
Image 1 div.journal-content-article > div.dl-banner-container > div.dl-banner-block > img
www.cochranelibrary.com/cochrane-theme/images/beta-icon.png20 x 60 (0.33)44 x 105 (0.42)

General

Deprecated APIs will eventually be removed from the browser. Learn more about deprecated APIs.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Deprecation / WarningSource
Unload event listeners are deprecated and will be removed.
SharedStorage
StorageType.persistent is deprecated. Please use standardized navigator.storage instead.
Fledge

Errors logged to the console indicate unresolved problems. They can come from network request failures and other browser concerns. Learn more about this errors in console diagnostic audit

Why this matters

Performance issues directly impact user engagement and conversion rates.

SourceDescription
Failed to load resource: the server responded with a status of 404 ()
Failed to load resource: the server responded with a status of 404 ()
Failed to load resource: the server responded with a status of 404 ()
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/aui.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/aui.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/main.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/main.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to execute script from 'https://www.cochranelibrary.com/cochrane-theme/js/main.js?browserId=other&minifierType=js&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not executable, and strict MIME type checking is enabled.
Refused to execute script from 'https://www.cochranelibrary.com/scolaris-content-display/js/topics-lookup.js?browserId=other&minifierType=js&languageId=en_US&b=6210&t=1776315622000' because its MIME type ('text/html') is not executable, and strict MIME type checking is enabled.

Source maps translate minified code to the original source code. This helps developers debug in production. In addition, Lighthouse is able to provide further insights. Consider deploying source maps to take advantage of these benefits. Learn more about source maps.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Uses HTTPS
Avoids third-party cookies
Allows users to paste into input fields
Avoids requesting the geolocation permission on page load
Avoids requesting the notification permission on page load
Serves images with appropriate resolution
Page has the HTML doctype
Properly defines charset
No issues in the `Issues` panel in Chrome Devtools
Ensure CSP is effective against XSS attacks
Use a strong HSTS policy
Ensure proper origin isolation with COOP
Mitigate DOM-based XSS with Trusted Types
Detected JavaScript libraries
Redirects HTTP traffic to HTTPS
Mitigate clickjacking with XFO or CSP
83

SEO

These checks ensure that your page is following basic search engine optimization advice. There are many additional factors Lighthouse does not score here that may affect your search ranking, including performance on Core Web Vitals. Learn more about Google Search Essentials.

Crawling and Indexing

Search engines may use `href` attributes on links to crawl websites. Ensure that the `href` attribute of anchor elements links to an appropriate destination, so more pages of the site can be discovered. Learn how to make links crawlable

Why this matters

Performance issues directly impact user engagement and conversion rates.

Uncrawlable Link
div.portlet-body > div.journal-content-article > div.slideshow-container > a.prev
div.portlet-body > div.journal-content-article > div.slideshow-container > a.next

To appear in search results, crawlers need access to your app.

Content Best Practices

Informative elements should aim for short, descriptive alternate text. Decorative elements can be ignored with an empty alt attribute. Learn more about the `alt` attribute.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
article.alert-content-module > div.button-container > a.alert-button > img article.alert-content-module > div.button-container > a.alert-button > img

Format your HTML in a way that enables crawlers to better understand your app’s content.

Structured data is valid
Page isn’t blocked from indexing
Document has a `<title>` element
Document has a meta description
Page has successful HTTP status code
Links have descriptive text
Document has a valid `hreflang`
Document has a valid `rel=canonical`
robots.txt is valid

Lighthouse Scores

Industry-standard audits powered by Google Lighthouse. — Desktop

66
Performance Overall performance score (0–100) based on Core Web Vitals and other metrics. 90+ is good.
94
Accessibility Measures how accessible the page is for users with disabilities. Checks color contrast, ARIA labels, and semantic HTML.
77
Best Practices Checks for modern web development best practices including HTTPS, no console errors, and secure JavaScript.
83
SEO Measures basic SEO optimizations: meta tags, crawlability, link text, and mobile friendliness.

Core Web Vitals

Key metrics that affect user experience. — Desktop

First Contentful Paint First Contentful Paint — how long until the browser renders the first piece of content. Under 1.8s is good.

1.33 s

Largest Contentful Paint Largest Contentful Paint — how long until the largest visible element loads. Under 2.5s is good.

2.03 s

Total Blocking Time Total Blocking Time — total time the main thread was blocked, preventing user input. Under 200ms is good.

0 ms

Cumulative Layout Shift Cumulative Layout Shift — measures visual stability. How much the page layout shifts during loading. Under 0.1 is good.

0.348

Speed Index Speed Index — how quickly content is visually displayed during load. Under 3.4s is good.

2.12 s

Time to Interactive Time to Interactive — how long until the page is fully interactive and responds to user input. Under 3.8s is good.

2.03 s

Detailed Report

Audit breakdown by category with detailed findings.

66

Performance

Insights

Remove large, duplicate JavaScript modules from bundles to reduce unnecessary bytes consumed by network activity.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Polyfills and transforms enable older browsers to use new JavaScript features. However, many aren't necessary for modern browsers. Consider modifying your JavaScript build process to not transpile Baseline features, unless you know you must support older browsers. Learn why most sites can deploy ES6+ code without transpiling

Why this matters

Shipping ES5 transpiled code to modern browsers wastes bytes — every user with an evergreen browser pays for compatibility you don't need.

Learn more

Most users today run browsers that natively support ES6+, async/await, optional chaining, and the rest of modern JavaScript. Transpiling to ES5 'just in case' adds 20-40% to your bundle for no benefit. Configure your build to target a modern browserslist, or ship a differential bundle pair (modern + legacy) with the module/nomodule pattern.

Source: Google web.dev / Lighthouse

3rd party code can significantly impact load performance. Reduce and defer loading of 3rd party code to prioritize your page's content.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Layout shifts occur when elements move absent any user interaction. Investigate the causes of layout shifts, such as elements being added, removed, or their fonts changing as the page loads.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:node label:Element subItemsHeading:map[key:extra] valueType:node] map[granularity:0.001 key:score label:Layout shift score subItemsHeading:map[key:cause valueType:text] valueType:numeric]]
items: [map[node:map[type:text value:Total] score:0.347777] map[node:map[boundingRect:map[bottom:1445 height:430 left:55 right:1295 top:1015 width:1240] lhId:page-6-DIV nodeLabel:Topics Blood and immune system conditions Cancer Cardiovascular conditions Cell… path:5,HTML,3,BODY,1,DIV,6,DIV,0,DIV,1,DIV selector:div.site-container > div#content > div#main-content > div.container snippet:<div class="container"> type:node] score:0.346331 subItems:map[items:[map[cause:Web font extra:map[type:url value:https://fonts.gstatic.com/s/sourcesanspro/v23/6xK3dSBYKcSV-LCoeQqfX1RYOo3qOK7lujVj9w.woff2]] map[cause:Web font extra:map[type:url value:https://fonts.gstatic.com/s/sourcesanspro/v23/6xKydSBYKcSV-LCoeQqfX1RYOo3i54rwlxdu3cOWxw.woff2]] map[cause:Web font extra:map[type:url value:https://fonts.gstatic.com/s/sourcesanspro/v23/6xKydSBYKcSV-LCoeQqfX1RYOo3ig4vwlxdu3cOWxw.woff2]]] type:subitems]] map[node:map[boundingRect:map[bottom:100 height:85 left:852 right:1275 top:15 width:423] lhId:page-11-DIV nodeLabel:Basic Search Title Abstract Keyword Browse Advanced search path:5,HTML,3,BODY,1,DIV,3,HEADER,0,DIV,1,DIV selector:div.site-container > header > div.container > div.desktop-search snippet:<div class="desktop-search basic-search-container"> type:node] score:0.001446]]

Your first network request is the most important. Reduce its latency by avoiding redirects, ensuring a fast server response, and enabling text compression.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Consider setting font-display to swap or optional to ensure text is consistently visible. swap can be further optimized to mitigate layout shifts with font metric overrides.

Why this matters

Performance issues directly impact user engagement and conversion rates.

A forced reflow occurs when JavaScript queries geometric properties (such as offsetWidth) after styles have been invalidated by a change to the DOM state. This can result in poor performance. Learn more about forced reflows and possible mitigations.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:source label:Source valueType:source-location] map[granularity:1 key:reflowTime label:Total reflow time valueType:ms]]
items: [map[reflowTime:88.784 source:map[type:text value:[unattributed]]] map[reflowTime:1.042 source:map[column:57310 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]] map[reflowTime:0.201 source:map[column:57439 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]] map[reflowTime:0.128 source:map[column:57749 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]] map[reflowTime:0.159 source:map[column:57812 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]] map[reflowTime:0.679 source:map[column:58021 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]] map[reflowTime:1.06 source:map[column:58096 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]] map[reflowTime:0.394 source:map[column:94446 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]] map[reflowTime:1.281 source:map[column:505484 line:1 type:source-location url:https://www.cochranelibrary.com/cochrane-theme/js/theme.js?t=1776315578000 urlProvider:network]]]

Reducing the download time of images can improve the perceived load time of the page and LCP. Learn more about optimizing image size

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLResource SizeEst Savings
Multiple article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670274&t=177487775217236.2 KiB34.7 KiB
Maternal, article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670272&t=177487775209332.6 KiB31.2 KiB
Climate article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670278&t=177487775232827.0 KiB25.8 KiB
Infectious article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670276&t=177487775225320.4 KiB19.5 KiB
Image 3 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/our_journal.png7.0 KiB4.7 KiB

Optimize LCP by making the LCP image discoverable from the HTML immediately, and avoiding lazy-loading

Why this matters

Performance issues directly impact user engagement and conversion rates.

lhId: page-5-IMG
nodeLabel: Main Banner Image
path: 5,HTML,3,BODY,1,DIV,6,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,DIV,1,DIV,1,SECTION,1,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,DIV,0,A,0,IMG
selector: div.slideshow-container > div.mySlides > a > img
snippet: <img alt="Main Banner Image" src="/image/journal/article?img_id=488500349&amp;t=1776690427734" style="width:100%;max-height:400px">

Avoid chaining critical requests by reducing the length of chains, reducing the download size of resources, or deferring the download of unnecessary resources to improve page load.

Why this matters

Performance issues directly impact user engagement and conversion rates.

description: [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints help the browser establish a connection earlier in the page load, saving time when the first request for that origin is made. The following are the origins that the page preconnected to.
title: Preconnected origins
value: no origins were preconnected
description: Add [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints to your most important origins, but try to use no more than 4.
title: Preconnect candidates
value: No additional origins are good candidates for preconnecting

These insights are also available in the Chrome DevTools Performance Panel - record a trace to view more detailed information.

Diagnostics

Reduce unused rules from stylesheets and defer CSS not used for above-the-fold content to decrease bytes consumed by network activity. Learn how to reduce unused CSS.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 120 ms 108.6 KiB

Reduce unused JavaScript and defer loading scripts until they are required to decrease bytes consumed by network activity. Learn how to reduce unused JavaScript.

Why this matters

Multi-megabyte JavaScript bundles delay every interactive feature on the page.

Learn more

This is the Lighthouse audit fired when too much JS is shipped relative to what executes. The fix isn't a config flag — it requires bundle analysis (webpack-bundle-analyzer, rollup-plugin-visualizer), splitting routes into chunks, lazy-loading off-screen components, and removing unused dependencies. Fundamentally different from minification: minifying reduces byte count, this reduces what's downloaded at all.

Source: Google web.dev / Lighthouse

Many navigations are performed by going back to a previous page, or forwards again. The back/forward cache (bfcache) can speed up these return navigations. Learn more about the bfcache

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failure reasonFailure type
The page has an unload handler in the main frame.Actionable
Pages with cache-control:no-store header cannot enter back/forward cache.Actionable
Pages whose main resource has cache-control:no-store cannot enter back/forward cache.Not actionable
Back/forward cache is disabled because some JavaScript network request received resource with Cache-Control: no-store header.Not actionable

Set an explicit width and height on image elements to reduce layout shifts and improve CLS. Learn how to set image dimensions

Why this matters

Performance issues directly impact user engagement and conversion rates.

URL
Maternal, article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670272&t=1774877752093
Multiple article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670274&t=1774877752172
Infectious article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670276&t=1774877752253
Climate article.mini-hero > a.mini-hero-module > div.mini-hero-image-wrapper > img.mini-hero-image
www.cochranelibrary.com/image/journal/article?img_id=486670278&t=1774877752328
Main Banner Image div.slideshow-container > div.mySlides > a > img
www.cochranelibrary.com/image/journal/article?img_id=488500349&t=1776690427734
Image 3 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/our_journal.png
Image 2 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/our_evidence.png
Image 4 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/how_to_order.png
Image 5 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/our_products.png
Image 1 div.journal-content-article > div.external-link-row > a > img
www.cochranelibrary.com/cochrane-theme/images/external_links/get_involved.png
Cochrane Library logo div.branding > h1.brand-container > a > img.brand-logo
www.cochranelibrary.com/cochrane-theme/images/en-US_logo.png
Stay connected with us article.alert-content-module > div.button-container > div.alert-module-image-wrapper > img
www.cochranelibrary.com/cochrane-theme/images/social/bell.png
div.brand-content > div.logo-block > a > img.footer-logo div.brand-content > div.logo-block > a > img.footer-logo
www.cochranelibrary.com/cochrane-theme/images/footer-logo-part-2.png
Wiley logo div.brand > div.brand-container > a > img.logo
www.cochranelibrary.com/cochrane-theme/images/en-US_wiley-footer-logo.png
Cochrane logo div.brand-content > div.logo-block > a > img.footer-logo
www.cochranelibrary.com/cochrane-theme/images/footer-logo-part-1.png
article.alert-content-module > div.button-container > a.alert-button > img article.alert-content-module > div.button-container > a.alert-button > img
www.cochranelibrary.com/cochrane-theme/images/social/bluesky-sm.svg

More information about the performance of your application. These numbers don't directly affect the Performance score.

Redirects introduce additional delays before the page can be loaded. Learn how to avoid page redirects.

Why this matters

Performance issues directly impact user engagement and conversion rates.

These are the largest layout shifts observed on the page. Each table item represents a single layout shift, and shows the element that shifted the most. Below each item are possible root causes that led to the layout shift. Some of these layout shifts may not be included in the CLS metric value due to windowing. Learn how to improve CLS

Why this matters

Performance issues directly impact user engagement and conversion rates.

ElementLayout shift score
Topics Blood and immune system conditions Cancer Cardiovascular conditions Cell… div.site-container > div#content > div#main-content > div.container
0.346
Basic Search Title Abstract Keyword Browse Advanced search div.site-container > header > div.container > div.desktop-search
0.001
Time to Interactive 2.0 s
Optimize DOM size
LCP breakdown
Modern HTTP
Optimize viewport for mobile
Max Potential First Input Delay 50 ms
Minify CSS
Minify JavaScript
Avoids enormous network payloads Total size was 1,903 KiB
JavaScript execution time 0.5 s
Minimizes main-thread work 1.2 s
Avoid non-composited animations 2 animated elements found
Network Requests
Network Round Trip Times 30 ms
Server Backend Latencies 140 ms
Tasks
Diagnostics
Metrics
Screenshot Thumbnails
Final Screenshot
Script Treemap Data
Resources Summary
Initial server response time was short Root document took 260 ms
INP breakdown
User Timing marks and measures
Avoid long main-thread tasks
94

Accessibility

These checks highlight opportunities to improve the accessibility of your web app. Automatic detection can only detect a subset of issues and does not guarantee the accessibility of your web app, so manual testing is also encouraged.

Navigation

Properly ordered headings that do not skip levels convey the semantic structure of the page, making it easier to navigate and understand when using assistive technologies. Learn more about heading order.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Stay connected with us article.alert-content-module > div.button-container > div.alert-module-image-wrapper > h4

These are opportunities to improve keyboard navigation in your application.

Names and labels

Informative elements should aim for short, descriptive alternate text. Decorative elements can be ignored with an empty alt attribute. Learn more about the `alt` attribute.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
article.alert-content-module > div.button-container > a.alert-button > img article.alert-content-module > div.button-container > a.alert-button > img

These are opportunities to improve the semantics of the controls in your application. This may enhance the experience for users of assistive technology, like a screen reader.

Interactive controls are keyboard focusable
Interactive elements indicate their purpose and state
The page has a logical tab order
Visual order on the page follows DOM order
User focus is not accidentally trapped in a region
The user's focus is directed to new content added to the page
HTML5 landmark elements are used to improve navigation
Offscreen content is hidden from assistive technology
Custom controls have associated labels
Custom controls have ARIA roles
`[aria-*]` attributes match their roles
`[aria-hidden="true"]` is not present on the document `<body>`
`[role]`s have all required `[aria-*]` attributes
`[role]` values are valid
`[aria-*]` attributes have valid values
`[aria-*]` attributes are valid and not misspelled
Buttons have an accessible name
Form elements have associated labels
`[user-scalable="no"]` is not used in the `<meta name="viewport">` element and the `[maximum-scale]` attribute is not less than 5.
ARIA attributes are used as specified for the element's role
Elements with `role="dialog"` or `role="alertdialog"` have accessible names.
`[aria-hidden="true"]` elements do not contain focusable descendents
Elements use only permitted ARIA attributes
Background and foreground colors have a sufficient contrast ratio
Document has a `<title>` element
`<html>` element has a `[lang]` attribute
`<html>` element has a valid value for its `[lang]` attribute
Links are distinguishable without relying on color.
Links have a discernible name
Lists contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
List items (`<li>`) are contained within `<ul>`, `<ol>` or `<menu>` parent elements
No element has a `[tabindex]` value greater than 0
Touch targets have sufficient size and spacing.
Document has a main landmark.
Deprecated ARIA roles were not used
Identical links have the same purpose.
`[accesskey]` values are unique
`button`, `link`, and `menuitem` elements have accessible names
ARIA input fields have accessible names
ARIA `meter` elements have accessible names
ARIA `progressbar` elements have accessible names
Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.
`[role]`s are contained by their required parent element
Elements with the `role=text` attribute do not have focusable descendents.
ARIA toggle fields have accessible names
ARIA `tooltip` elements have accessible names
ARIA `treeitem` elements have accessible names
The page contains a heading, skip link, or landmark region
`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
Definition list items are wrapped in `<dl>` elements
ARIA IDs are unique
No form fields have multiple labels
`<frame>` or `<iframe>` elements have a title
`<html>` element has an `[xml:lang]` attribute with the same base language as the `[lang]` attribute.
Input buttons have discernible text.
`<input type="image">` elements have `[alt]` text
The document does not use `<meta http-equiv="refresh">`
`<object>` elements have alternate text
Select elements have associated label elements.
Skip links are focusable.
Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
`[lang]` attributes have a valid value
`<video>` elements contain a `<track>` element with `[kind="captions"]`
Tables have different content in the summary attribute and `<caption>`.
All heading elements contain content.
Uses ARIA roles only on compatible elements
Image elements do not have `[alt]` attributes that are redundant text.
Elements with visible text labels have matching accessible names.
Tables use `<caption>` instead of cells with the `[colspan]` attribute to indicate a caption.
`<td>` elements in a large `<table>` have one or more table headers.
77

Best Practices

General

Deprecated APIs will eventually be removed from the browser. Learn more about deprecated APIs.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Deprecation / WarningSource
Unload event listeners are deprecated and will be removed.
SharedStorage
StorageType.persistent is deprecated. Please use standardized navigator.storage instead.
Fledge

Errors logged to the console indicate unresolved problems. They can come from network request failures and other browser concerns. Learn more about this errors in console diagnostic audit

Why this matters

Performance issues directly impact user engagement and conversion rates.

SourceDescription
Failed to load resource: the server responded with a status of 404 ()
Failed to load resource: the server responded with a status of 404 ()
Failed to load resource: the server responded with a status of 404 ()
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/aui.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/aui.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/main.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to apply style from 'https://www.cochranelibrary.com/cochrane-theme/css/main.css?browserId=other&themeId=cochrane_WAR_cochranetheme&minifierType=css&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not a supported stylesheet MIME type, and strict MIME checking is enabled.
Refused to execute script from 'https://www.cochranelibrary.com/cochrane-theme/js/main.js?browserId=other&minifierType=js&languageId=en_US&b=6210&t=1776315578000' because its MIME type ('text/html') is not executable, and strict MIME type checking is enabled.
Refused to execute script from 'https://www.cochranelibrary.com/scolaris-content-display/js/topics-lookup.js?browserId=other&minifierType=js&languageId=en_US&b=6210&t=1776315622000' because its MIME type ('text/html') is not executable, and strict MIME type checking is enabled.

Source maps translate minified code to the original source code. This helps developers debug in production. In addition, Lighthouse is able to provide further insights. Consider deploying source maps to take advantage of these benefits. Learn more about source maps.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Uses HTTPS
Avoids third-party cookies
Allows users to paste into input fields
Avoids requesting the geolocation permission on page load
Avoids requesting the notification permission on page load
Displays images with correct aspect ratio
Serves images with appropriate resolution
Page has the HTML doctype
Properly defines charset
No issues in the `Issues` panel in Chrome Devtools
Ensure CSP is effective against XSS attacks
Use a strong HSTS policy
Ensure proper origin isolation with COOP
Mitigate DOM-based XSS with Trusted Types
Detected JavaScript libraries
Redirects HTTP traffic to HTTPS
Mitigate clickjacking with XFO or CSP
83

SEO

These checks ensure that your page is following basic search engine optimization advice. There are many additional factors Lighthouse does not score here that may affect your search ranking, including performance on Core Web Vitals. Learn more about Google Search Essentials.

Crawling and Indexing

Search engines may use `href` attributes on links to crawl websites. Ensure that the `href` attribute of anchor elements links to an appropriate destination, so more pages of the site can be discovered. Learn how to make links crawlable

Why this matters

Performance issues directly impact user engagement and conversion rates.

Uncrawlable Link
div.portlet-body > div.journal-content-article > div.slideshow-container > a.prev
div.portlet-body > div.journal-content-article > div.slideshow-container > a.next

To appear in search results, crawlers need access to your app.

Content Best Practices

Informative elements should aim for short, descriptive alternate text. Decorative elements can be ignored with an empty alt attribute. Learn more about the `alt` attribute.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
article.alert-content-module > div.button-container > a.alert-button > img article.alert-content-module > div.button-container > a.alert-button > img

Format your HTML in a way that enables crawlers to better understand your app’s content.

Structured data is valid
Page isn’t blocked from indexing
Document has a `<title>` element
Document has a meta description
Page has successful HTTP status code
Links have descriptive text
Document has a valid `hreflang`
Document has a valid `rel=canonical`
robots.txt is valid

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