Yusuf S, Zucker D, Chalmers T C
National Heart, Lung, and Blood Institute, Bethesda, MD.
Online J Curr Clin Trials. 1994 Oct 15;Doc No 144:[3987 words; 31 paragraphs].
This metaanalysis has some important general implications for conducting studies to evaluate other treatments as well as for patient management. To avoid missing clinically important differences (eg, 15-20% differences in mortality at 5 years) between the methods of revascularization, study populations should be several times larger than those in our metaanalysis, should include a high proportion of the types of patients for whom surgery is known to be superior to medical therapy, and should be complemented by a systematic overview. We recommend that researchers running large randomized trials consider prospective collaboration with researchers from other trials with a common protocol.
这项荟萃分析对于开展评估其他治疗方法的研究以及患者管理具有一些重要的普遍意义。为避免忽略血管重建方法之间临床上的重要差异(例如,5年死亡率相差15%-20%),研究人群规模应比我们荟萃分析中的人群大几倍,应纳入已知手术治疗优于药物治疗的高比例患者类型,并且应以系统综述作为补充。我们建议开展大型随机试验的研究人员考虑与其他采用共同方案的试验的研究人员进行前瞻性合作。