Factors that can affect the external validity of randomised controlled trials
2006

Factors Affecting the Validity of Randomised Controlled Trials

publication Evidence: moderate

Author Information

Author(s): Peter M. Rothwell

Primary Institution: University Department of Clinical Neurology, Radcliffe Infirmary, Oxford, United Kingdom

Hypothesis

What factors influence the external validity of randomised controlled trials?

Conclusion

Many randomised controlled trials lack external validity, which limits their applicability in routine clinical practice.

Supporting Evidence

  • Many trials are criticized for their lack of external validity.
  • External validity is essential for the correct application of treatments in clinical practice.
  • Selection criteria in trials often exclude many patients who would benefit from treatment.

Takeaway

This study talks about how some medical trials don't always apply to all patients, making it hard for doctors to use their results in real life.

Potential Biases

Potential bias due to selective reporting and exclusion criteria in trials.

Limitations

The review does not exhaustively cover all determinants of external validity.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1371/journal.pctr.0010009

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