Kusche J
Langenbecks Arch Chir. 1981;355:405-9. doi: 10.1007/BF01286879.
Additional data appearing in clinical trials can be evaluated only outside the protocol, i.e. retrospectively. An exclusion of patients before randomization is feasible, a withdrawal of patients after randomization is not allowed, but if unavoidable a "central blind review" should be introduced. No loss of patients should occur after the closing of the study. Differences in prognostic factors between groups of patients can be overcome by retrospective stratification. If there are different outcomes, a subsequent significance test at the 1% level is considered as well as a free interpretation.
临床试验中出现的额外数据只能在方案之外进行评估,即回顾性评估。在随机分组前排除患者是可行的,随机分组后不允许撤回患者,但如果不可避免,应引入“中心盲态审查”。研究结束后不应出现患者流失情况。患者组间预后因素的差异可通过回顾性分层来克服。如果出现不同的结果,应考虑进行1%水平的后续显著性检验以及自由解读。