New treatments compared to established treatments in randomized trials

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New treatments compared to established treatments in randomized trials.

BACKGROUND The proportion of proposed new treatments that are 'successful' is of ethical, scientific, and public importance. We investigated how often new, experimental treatments evaluated in randomized controlled trials (RCTs) are superior to established treatments. OBJECTIVES Our main question was: "On average how often are new treatments more effective, equally effective or less effective...

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Efficacy of experimental treatments compared with standard treatments in non-inferiority trials: a meta-analysis of randomized controlled trials.

BACKGROUND There is concern that non-inferiority trials might be deliberately designed to conceal that a new treatment is less effective than a standard treatment. In order to test this hypothesis we performed a meta-analysis of non-inferiority trials to assess the average effect of experimental treatments compared with standard treatments. METHODS One hundred and seventy non-inferiority trea...

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Lifestyle treatments in randomized clinical trials of pharmacotherapies for obesity.

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Reporting Methods of Blinding in Randomized Trials Assessing Nonpharmacological Treatments

BACKGROUND Blinding is a cornerstone of treatment evaluation. Blinding is more difficult to obtain in trials assessing nonpharmacological treatment and frequently relies on "creative" (nonstandard) methods. The purpose of this study was to systematically describe the strategies used to obtain blinding in a sample of randomized controlled trials of nonpharmacological treatment. METHODS AND FIN...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2012

ISSN: 1465-1858

DOI: 10.1002/14651858.mr000024.pub3