Using examples and case studies from industry, academia andresearch literature, Randomized Clinical Trials provides adetailed overview of the key issues involved in designing,conducting, analysing and reporting randomized clinicaltrials. It examines the methodology for conducting Phase IIIclinical trials, developing the protocols, the practice forcapturing, measuring, and analysing the resulting clinical data andtheir subsequent reporting. Randomized clinical trials are the principal method fordetermining the relative efficacy and safety of alternativetreatments, interventions or medical devices. They areconducted by groups comprising one or more of pharmaceutical andallied health-care organisations, academic institutions, andcharity supported research groups. In many cases such trialsprovide the key evidence necessary for the regulatory approval of anew product for future patient use. Randomized ClinicalTrials provides comprehensive coverage of such trials, rangingfrom elementary to advanced level. Written by authors with considerable experience of clinicaltrials, Randomized Clinical Trials is an authoritative guidefor clinicians, nurses, data managers and medical statisticiansinvolved in clinical trials research and for health careprofessionals directly involved in patient care in a clinical trialcontext.
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* Reflects the numerous advances in clinical trialmethodology * Provides a comphensive ,step by step guide to the design ofrandomized clinical trials * Effectively illustrated with examples from the literature andcase studies .
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Preface. 1 Introduction. 1.1 Introduction. 1.2 Some completed trials. 1.3 Choice of design. 1.4 Practical constraints. 1.5 Influencing clinical practice. 1.6 History. 1.7 How trials arise. 1.8 Ethical considerations. 1.9 Regulatory requirements. 1.10 Focus. 1.11 Further reading. 2 Design Features. 2.1 Introduction. 2.2 The research question. 2.3 Patient selection. 2.4 The consent process. 2.5 Choice of interventions. 2.6 Choice of design. 2.7 Assigning the interventions. 2.8 Making the assessments. 2.9 Analysis and reporting. 2.10 Technical details. 2.11 Guidelines. 2.12 Further reading. 3 The Trial Protocol. 3.1 Introduction. 3.2 Protocol abstract. 3.3 Protocol background. 3.4 Protocol research objectives. 3.5 Protocol design. 3.6 Protocol intervention details. 3.7 Protocol eligibility. 3.8 Protocol randomization. 3.9 Protocol assessment and data collection. 3.10 Protocol statistical considerations. 3.11 Protocol ethical issues. 3.12 Protocol organizational structure. 3.13 Protocol publication policy. 3.14 Protocol trial forms. 3.15 Protocol appendices. 3.16 Regulatory requirements. 3.17 Guidelines. 3.18 Protocols. 4 Measurement and Data Capture. 4.1 Introduction. 4.2 Measures and endpoints. 4.3 Making the observations. 4.4 Baseline measures. 4.5 Types of measures. 4.6 Data recording. 4.7 Technical notes. 4.8 Guidelines. 5 Randomization. 5.1 Introduction. 5.2 Rationale. 5.3 Mechanics. 5.4 Application. 5.5 Carrying out randomization. 5.6 Documentation. 5.7 Unacceptable methods. 5.8 Software. 5.9 Guidelines. 6 Trial Initiation. 6.1 Introduction. 6.2 Trial organization. 6.3 Data collection and processing. 6.4 Data monitoring. 6.5 Ethical and regulatory requirements. 6.6 Launching the trial. 6.7 Trial registries. 6.8 Guidelines. 7 Trial Conduct. 7.1 Introduction. 7.2 Regular feedback. 7.3 Publicity. 7.4 Data monitoring committees. 7.5 Protocol modifications. 7.6 Preparing the publication(s). 7.7 The next trial? 7.8 Protocols. 8 Basics of Analysis. 8.1 Introduction. 8.2 Confidence intervals. 8.3 Statistical tests. 8.4 Examples of analysis. 8.5 Other issues. 8.6 Practice. 8.7 Technical details. 9 Trial Size. 9.1 Introduction. 9.2 Significance level and power. 9.3 The fundamental equation. 9.4 Specific situations. 9.5 Practical considerations. 9.6 Further topics. 9.7 Other methods and software. 9.8 Guideline. 10 Reporting. 10.1 Introduction. 10.2 Publication guidelines. 10.3 Responsibilities. 10.4 Background. 10.5 Methods. 10.6 Findings. 10.7 When things go wrong. 10.8 Conclusions. 10.9 Guidelines. 11 Adaptations of the Basic Design. 11.1 Introduction. 11.2 Repeated measures. 11.3 Cluster-randomized trials. 11.4 Non-inferiority trials. 11.5 Guidelines. 12 Paired Designs. 12.1 Cross-over trials. 12.2 Split-mouth designs. 12.3 Paired organs. 13 More Than Two Interventions. 13.1 Introduction. 13.2 Unstructured comparisons. 13.3 Comparisons with placebo (or standard). 13.4 Dose response designs. 13.5 Factorial trials. 14 Further Topics. 14.1 Introduction. 14.2 Adaptive approaches. 14.3 Large simple trials. 14.4 Bayesian methods. 14.5 Zelen randomized-consent designs. 14.6 Systematic overviews. 14.7 Conclusion. Statistical Tables. Glossary. References. Index.
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" Randomized Clinical Trials: Design, Practice and Reportingis a solid introduction for clinical research investigators."( The Journal of Clinical Research Best Practices, February2011) "In summary, this text is ambitious in its scope (possibly to afault), but certainly fills a void in the literature in the sensethat it provides a comprehensive overview of the planning,execution, and reporting of clinical trials that is unparalleled."( Journal of Biopharmaceutical Statistics (JBS), February2011) "Randomized Clinical Trials aims to bring bang up to dateall the recent major developments in the important field ofclinical trial methodology and statistics. A supremely importantsubject to all of us, this is surely a more worthy new yearinvestment than that month s supply of dandelion liver flushtonic." (Health Writer, Autumn 2009)
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Produktdetaljer

ISBN
9780471498124
Publisert
2010-03-05
Utgiver
Vendor
John Wiley & Sons Inc
Vekt
646 gr
Høyde
241 mm
Bredde
175 mm
Dybde
21 mm
Aldersnivå
05, 06, UP, P
Språk
Product language
Engelsk
Format
Product format
Heftet
Antall sider
374

Biographical note

David Machin, Medical Statistics Group, School of Health andRelated Sciences, University of Sheffield, UK and Children's Cancerand Leukaemia Group, University of Leicester, UK Peter M Fayers, Department of Public Health, Universityof Aberdeen, UK and Faculty of Medicine, Norwegian University ofScience and Technology, Trondheim, Norway