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Review
. 2011 Sep;108(39):663-8.
doi: 10.3238/arztebl.2011.0663. Epub 2011 Sep 30.

Randomized controlled trials: part 17 of a series on evaluation of scientific publications

Maria Kabisch  1 , Christian Ruckes, Monika Seibert-Grafe, Maria Blettner
Affiliations
Review

Randomized controlled trials: part 17 of a series on evaluation of scientific publications

Maria Kabisch et al. Dtsch Arztebl Int. 2011 Sep.

Abstract

Background: In clinical research, randomized controlled trials (RCTs) are the best way to study the safety and efficacy of new treatments. RCTs are used to answer patient-related questions and are required by governmental regulatory bodies as the basis for approval decisions.

Methods: To help readers understand and evaluate RCTs, we discuss the methods and qualitative requirements of RCTs with reference to the literature and an illustrative case study. The discussion here corresponds to expositions of the subject that can be found in many textbooks but also reflects the authors' personal experience in planning, conducting and analyzing RCTs.

Results: The quality of an RCT depends on an appropriate study question and study design, the prevention of systematic errors, and the use of proper analytical techniques. All of these aspects must be attended to in the planning, conductance, analysis, and reporting of RCTs. RCTs must also meet ethical and legal requirements.

Conclusion: RCTs cannot yield reliable data unless they are planned, conducted, analyzed, and reported in ways that are methodologically sound and appropriate to the question being asked. The quality of any RCT must be critically evaluated before its relevance to patient care can be considered.

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Figures

Figure
Figure
Patient flow in a randomized controlled trial (adapted from [23])
See this image and copyright information in PMC

Comment in

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