Risk of selection bias in randomised trials

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Risk of selection bias in randomised trials

BACKGROUND Selection bias occurs when recruiters selectively enrol patients into the trial based on what the next treatment allocation is likely to be. This can occur even if appropriate allocation concealment is used if recruiters can guess the next treatment assignment with some degree of accuracy. This typically occurs in unblinded trials when restricted randomisation is implemented to force...

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Bias in randomised factorial trials.

Factorial trials are an efficient method of assessing multiple treatments in a single trial, saving both time and resources. However, they rely on the assumption of no interaction between treatment arms. Ignoring the possibility of an interaction in the analysis can lead to bias and potentially misleading conclusions. Therefore, it is often recommended that the size of the interaction be assess...

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Risk of selection bias in randomized trials: further insight

The quality of randomization is an under-appreciated facet of trial design. The present piece represents an advance in our collective understanding of how allocation concealment and randomization relate to risk of selection bias in randomized trials, and other measures are also considered. Though the overwhelming majority of the advice given is timely and correct, it is more instructive to focu...

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Preventing Bias in Cluster Randomised Trials

In randomised trials, internal validity is defined as ‘‘the extent to which the design and conduct of a study are likely to have prevented bias’’ [1,2]. In conducting such trials, trialists try to prevent selection bias through randomisation and allocation concealment (defined as ‘‘the process used to ensure that the person deciding to enter a participant into a randomised controlled trial does...

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Methodological bias in cluster randomised trials

BACKGROUND Cluster randomised trials can be susceptible to a range of methodological problems. These problems are not commonly recognised by many researchers. In this paper we discuss the issues that can lead to bias in cluster trials. METHODS We used a sample of cluster randomised trials from a recent review and from a systematic review of hip protectors. We compared the mean age of particip...

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ژورنال

عنوان ژورنال: Trials

سال: 2015

ISSN: 1745-6215

DOI: 10.1186/s13063-015-0920-x