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10.5811/westjem.2018.4.38383

http://scihub22266oqcxt.onion/10.5811/westjem.2018.4.38383
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C6040910!6040910!30013696
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suck abstract from ncbi


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pmid30013696      West+J+Emerg+Med 2018 ; 19 (4): 631-4
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  • Understanding the Use of Composite Endpoints in Clinical Trials #MMPMID30013696
  • McCoy CE
  • West J Emerg Med 2018[Jul]; 19 (4): 631-4 PMID30013696show ga
  • Clinicians, institutions, healthcare networks, and policymakers use outcomes reported in clinical trials as the basis for medical decision-making when managing individual patients or populations. Therefore, the choice of a valid primary endpoint is crucial for randomized controlled trials (RCT) to demonstrate efficacy of new therapies. Recent improvements in treatment, however, have led to a decline in the morbidity and mortality of several common diseases, resulting in a reduction in relevant outcomes that can be used as clinical trial endpoints. Composite endpoints have been used as a solution to maintain the feasibility of RCTs, particularly when facing low event rates, high cost, and long follow-up. However, the benefits of using composite endpoints must be weighed against the risks of misinterpretation by clinicians and policymakers, as incorrect interpretation may have a detrimental effect on patients and populations. This paper defines a composite endpoint, discusses the rationale for its use, and provides a practical approach to interpreting results to aid in medical decision-making.
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