Top Ten Tips Palliative Care Clinicians Should Know About Interpreting a Clinical Trial

被引:0
|
作者
Gurgenci, Taylan [1 ]
O'Leary, Cian [2 ]
Hui, David [3 ]
Yennu, Sriram [4 ]
Bruera, Eduardo [5 ]
Davis, Mellar [6 ]
Agar, Meera R. [7 ]
Zimmermann, Camilla [8 ]
Philip, Jennifer [9 ,10 ,11 ,12 ]
Mercadante, Sebastiano [13 ]
Hardy, Janet [14 ]
Rosa, William E. [15 ]
Good, Phillip [1 ,2 ,16 ,17 ]
机构
[1] Univ Queensland, Mater Hlth Mater Res Inst, Dept Palliat & Support Care, Brisbane, Qld, Australia
[2] Univ Queensland, Mater Res Inst, Canc Program, Brisbane, Qld, Australia
[3] Univ Texas MD Anderson Canc Ctr, Dept Palliat Rehabil & Integrat Med, Houston, TX USA
[4] Univ Texas MD Anderson Canc Ctr, Palliat Rehabil & Integrat Med, Houston, TX USA
[5] Utah MD Anderson Canc, Dept Palliat Rehabil & Integrat Med, Houston, TX USA
[6] Geisinger Commonwealth Sch Med, Geisinger Med Ctr, Palliat Care Res, Scranton, PA USA
[7] Univ Technol Sydney, Fac Hlth, IMPACCT, Sydney, NSW, Australia
[8] Princess Margaret Canc Ctr, Dept Support Care, Toronto, ON, Canada
[9] Peter MacCallum Canc Ctr, Dept Palliat Care, Melbourne, Vic, Australia
[10] Royal Melbourne Hosp, Dept Palliat Care, Parkville, Vic, Australia
[11] Univ Melbourne, Dept Med, Fitzroy, Vic, Australia
[12] St Vincents Hosp, Dept Palliat Care, Palliat Care Serv, Fitzroy, Vic, Australia
[13] La Maddalena Canc Ctr, Pain Relief & Support Palliat Care Unit, Palermo, Italy
[14] Univ Queensland, Mater Res Inst, Brisbane, Qld, Australia
[15] Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, New York, NY USA
[16] Mater Hlth Serv, Dept Palliat & Support Care, Brisbane, Qld, Australia
[17] Univ Queensland, St Vincents Private Hosp, Dept Palliat Care, Brisbane, Qld, Australia
关键词
clinical trials; data interpretation; evidence-based medicine; palliative care; quality of data; randomized control trials; REPORTED OUTCOME MEASURES; EXTERNAL VALIDITY; PARALLEL-GROUP; POWER; RELIABILITY; AGITATION; DELIRIUM; CANCER; UNIT;
D O I
10.1089/jpm.2024.0258
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Evidence-based practice is foundational to high-quality palliative care delivery. However, the clinical trials that compose the evidence base are often methodologically imperfect. Applying their conclusions without critical application to the clinical practice context can harm patients. The tips provided can help clinicians infer judiciously from clinical trial results and avoid credulously accepting findings without critique. We suggest that statistical and mathematical expertise is unnecessary, but rather a keen curiosity about investigators' rationale for certain design choices and how these choices can affect results is key. For a more comprehensive understanding of clinical trials, this article can be used with the authors' corresponding ten tips article that focuses on designing a clinical trial.
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页数:7
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