Non-adherence in non-inferiority trials: pitfalls and recommendations

被引:54
作者
Mo, Yin [1 ,2 ,3 ,4 ]
Lim, Cherry [1 ,4 ]
Watson, James A. [1 ,4 ]
White, Nicholas J. [1 ,4 ]
Cooper, Ben S. [1 ,4 ]
机构
[1] Mahidol Univ, Fac Trop Med, Mahidol Oxford Trop Med Res Unit, Bangkok, Thailand
[2] Natl Univ Singapore Hosp, Univ Med Cluster, Singapore, Singapore
[3] Natl Univ Singapore, Dept Med, Singapore, Singapore
[4] Univ Oxford, Nuffield Dept Med, Ctr Trop Med, Oxford OX3 7BN, England
来源
BMJ-BRITISH MEDICAL JOURNAL | 2020年 / 370卷
基金
英国惠康基金; 英国医学研究理事会;
关键词
CAUSAL; DURATION; EFFICACY; CARE;
D O I
10.1136/bmj.m2215
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Non-adherence in non-inferiority trials can affect treatment effect estimates and often increases the chance of claiming non-inferiority under the standard intention-to-treat analysis. This article discusses the implications of different patterns of non-adherence in non-inferiority trials and offers practical recommendations for trial design, alternative analysis strategies, and outcome reporting to reduce bias in treatment estimates and improve transparency in reporting.
引用
收藏
页数:10
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