Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29361833
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Clin+Trials
2018 ; 15
(2
): 189-196
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Are pilot trials useful for predicting randomisation and attrition rates in
definitive studies: A review of publicly funded trials
#MMPMID29361833
Cooper CL
; Whitehead A
; Pottrill E
; Julious SA
; Walters SJ
Clin Trials
2018[Apr]; 15
(2
): 189-196
PMID29361833
show ga
BACKGROUND/AIMS: External pilot trials are recommended for testing the
feasibility of main or confirmatory trials. However, there is little evidence
that progress in external pilot trials actually predicts randomisation and
attrition rates in the main trial. To assess the use of external pilot trials in
trial design, we compared randomisation and attrition rates in publicly funded
randomised controlled trials with rates in their pilots. METHODS: Randomised
controlled trials for which there was an external pilot trial were identified
from reports published between 2004 and 2013 in the Health Technology Assessment
Journal. Data were extracted from published papers, protocols and reports.
Bland-Altman plots and descriptive statistics were used to investigate the
agreement of randomisation and attrition rates between the full and external
pilot trials. RESULTS: Of 561 reports, 41 were randomised controlled trials with
pilot trials and 16 met criteria for a pilot trial with sufficient data. Mean
attrition and randomisation rates were 21.1% and 50.4%, respectively, in the
pilot trials and 16.8% and 65.2% in the main. There was minimal bias in the pilot
trial when predicting the main trial attrition and randomisation rate. However,
the variation was large: the mean difference in the attrition rate between the
pilot and main trial was -4.4% with limits of agreement of -37.1% to 28.2%.
Limits of agreement for randomisation rates were -47.8% to 77.5%. CONCLUSION:
Results from external pilot trials to estimate randomisation and attrition rates
should be used with caution as comparison of the difference in the rates between
pilots and their associated full trial demonstrates high variability. We suggest
using internal pilot trials wherever appropriate.