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真实世界研究与随机对照试验:关于癌症研究中这些互补设计的相对优势与局限性的播客讨论

Real-World Studies and Randomized Controlled Trials: A Podcast Discussion of the Relative Strengths and Limitations of These Complementary Designs for Cancer Research.

作者信息

Brufsky Adam, Vaklavas Christos, Ryan Joanne C

机构信息

UPMC Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Division of Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.

出版信息

Oncol Ther. 2025 Sep 11. doi: 10.1007/s40487-025-00368-w.

Abstract

Randomized controlled trials (RCTs) are the benchmark for assessing the safety and efficacy of treatments but are subject to some inherent limitations, such as restrictive inclusion criteria and underrepresentation of certain patient groups. Studies based on diverse real-world data sources provide complementary evidence that can help fill knowledge gaps, particularly by providing safety and outcome data for patients not typically included in RCTs. However, real-world data studies have their own limitations. This podcast aims to be a resource for clinicians by exploring the strengths and limitations of RCTs and real-world studies in the context of cancer research. The hosts, both of whom are practicing oncologists, provide context for the emergence of modern real-world studies and advice for interpreting real-world evidence. As a supplement to learnings from RCTs, real-world evidence can inform the treatment decision-making process in the clinic and support decisions made by regulatory bodies. This podcast is part 1 of a three-part series discussing real-world studies.Podcast and infographic available for this article. Podcast video (MP4 66494 KB).

摘要

随机对照试验(RCTs)是评估治疗安全性和有效性的基准,但存在一些固有局限性,如严格的纳入标准和某些患者群体代表性不足。基于各种真实世界数据源的研究提供了补充证据,有助于填补知识空白,特别是通过为通常未纳入随机对照试验的患者提供安全性和结局数据。然而,真实世界数据研究也有其自身的局限性。本播客旨在通过探讨随机对照试验和癌症研究背景下的真实世界研究的优势和局限性,为临床医生提供资源。两位主持人都是执业肿瘤学家,他们为现代真实世界研究的出现提供了背景信息,并就解读真实世界证据提供了建议。作为对随机对照试验所得知识的补充,真实世界证据可为临床治疗决策过程提供参考,并支持监管机构做出的决策。本播客是一个讨论真实世界研究的三部分系列的第1部分。本文配有播客和信息图表。播客视频(MP4 66494 KB)。

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