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U.S. Department of Veterans Affairs Panel on Statistics and Analytics on Healthcare Datasets: Challenges and Recommended Strategies

Clinical trials design and conduct

Pages 24-37 | Received 08 Jan 2018, Accepted 09 May 2018, Published online: 07 Jun 2018
 

ABSTRACT

This article attempts to outline the most important aspects to consider when planning a randomized controlled clinical trial (RCT) and writing a proposal for the RCT. RCTs are generally formulated by a planning committee that should be comprised of members with expertise in the different important features of the trial. Important considerations include background, objectives/hypotheses, experimental design, patient population and recruitment/retention plan, stratification/randomization, experimental treatment, control or comparison treatment, blinding, primary and secondary outcomes, patient follow-up, data to be collected, capture of data and confidentiality, handling of adverse events, sample size/statistical power and feasibility, statistical analysis, ethical issues, and governance of the trial. Real world examples, mostly drawn from the US Department of Veterans Affairs Cooperative Studies Program, are used to illustrate the various important considerations.

Disclosure statement

No potential conflict of interest was reported by the author.

Additional information

Notes on contributors

William G. Henderson

William G. Henderson, MPH, PhD, was the director of the Hines, IL, US Department of Veterans Affairs Cooperative Studies Program Coordinating Center for 24 years. In that time, he helped to plan, obtain approval and funding for, implement, conduct, analyse and publish over 40 cooperative studies in many different disease areas. He is currently a professor of biostatistics in the Adult and Child Consortium for Outcomes Research and Delivery Science (ACCORDS) at the University of Colorado Denver and professor in the Department of Biostatistics and Informatics in the School of Public Health, University of Colorado Denver.

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