RCT Flashcards
5 Key Characteristics
Manipulation - defined by exposure, but investigator controls the exposure Comparison Arm Randomization Double Blinded Placebo Controlled
Randomization
Useful bc patients then comparable across all characteristics - known and unknown to reduce residual confounding. Limits possibility of bias and confounding. Each pop generalizable to same pop
Random Sampling and Randomization
NOT the same. Randomization is for RCT and not observational studies
Intent to Treat
All ppl randomized must be analyzed, or else the randomization is broken
3 Types of Endpoints
Clinically meaningful - death, morbidity improvements, etc
Surrogate endpoints - EF for CHF instead of mortality, etc
Composite Endpoints - death and MI together - increase event rate
Event Rate vs. External Validity
Need enough events to be significant, so may need sicker patients. This may reduce external validity/generalizability, so trade-offs
Number Needed to Treat
Inverse of absolute difference (NNT to save 1 pt)
Publication Bias
Big Pharm publish studies that work and bury the rest
Huge Trial Sample Sizes
Often used to cover up small effect size
Unit of Analysis in Meta Analysis
Study
Goal Finding of Meta Analysis
Looking for summary statistic of effect size (using weighted effect sizes of the studies)