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一项随机对照试验的批判性分析

Critical Analysis of a Randomized Controlled Trial.

作者信息

Nimavat Balkrishna D, Zirpe Kapil G, Gurav Sushma K

机构信息

Critical Care Unit, Sir HN Reliance Hospital, Ahmedabad, Gujarat, India.

Department of Neuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.

出版信息

Indian J Crit Care Med. 2020 Sep;24(Suppl 4):S215-S222. doi: 10.5005/jp-journals-10071-23638.

Abstract

In the era of evidence-based medicine, healthcare professionals are bombarded with plenty of trials and articles of which randomized control trial is considered as the epitome of all in terms of level of evidence. It is very crucial to learn the skill of balancing knowledge of randomized control trial and to avoid misinterpretation of trial result in clinical practice. There are various methods and steps to critically appraise the randomized control trial, but those are overly complex to interpret. There should be more simplified and pragmatic approach for analysis of randomized controlled trial. In this article, we like to summarize few of the practical points under 5 headings: "5 'Rs' of critical analysis of randomized control trial" which encompass Right Question, Right Population, Right Study Design, Right Data, and Right Interpretation. This article gives us insight that analysis of randomized control trial should not only based on statistical findings or results but also on systematically reviewing its core question, relevant population selection, robustness of study design, and right interpretation of outcome. Nimavat BD, Zirpe KG, Gurav SK. Critical Analysis of a Randomized Controlled Trial. Indian J Crit Care Med 2020;24(Suppl 4):S215-S222.

摘要

在循证医学时代,医疗保健专业人员面临大量的试验和文章,其中随机对照试验在证据水平方面被视为所有试验的典范。在临床实践中,掌握平衡随机对照试验知识的技能并避免对试验结果的误解至关重要。有多种方法和步骤来严格评估随机对照试验,但这些方法解释起来过于复杂。应该有更简化和实用的方法来分析随机对照试验。在本文中,我们想在五个标题下总结一些实用要点:“随机对照试验批判性分析的5个‘R’”,包括正确的问题、正确的人群、正确的研究设计、正确的数据和正确的解释。本文让我们认识到,随机对照试验的分析不仅应基于统计结果,还应系统地审查其核心问题、相关人群的选择、研究设计的稳健性以及对结果的正确解释。Nimavat BD、Zirpe KG、Gurav SK。随机对照试验的批判性分析。《印度重症监护医学杂志》2020年;24(增刊4):S215 - S222。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b9/7724939/4ed81853540f/ijccm-24-S215-g001.jpg

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