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Part I: Is There a Problem with Reliability in Medical Studies? |
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1 An Evolution of Comparative Methodology. |
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1.1 Single-subject studies. |
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1.2 Case series and cohort studies. |
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1.4 Parallel control groups. |
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1.7 Advance randomization. |
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1.8 Allocation concealment. |
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1.9 Residual selection bias. |
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2 Susceptibility of Randomized Trials to Subversion and Selection Bias. |
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2.1 Can randomized trials be subverted? |
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2.2 If randomized trials are subverted, do they cease to be randomized trials? |
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2.4 What is allocation concealment? |
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2.6 What if allocation concealment could be ensured? |
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3 Evidence of Selection Bias in Randomized Trials. |
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3.1 The burden of proof regarding the existence of selection bias in randomized trials. |
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3.2 Indirect population-level evidence that selection bias exists in randomized trials. |
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3.3 Direct trial-level evidence that selection bias exists in randomized trials. |
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3.3.1 Heparin for myocardial infarction. |
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3.3.2 University Group Diabetes Program. |
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3.3.3 Talc and mustine for pleural effusions. |
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3.3.4 Tonsillectomy for recurrent throat infection in children. |
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3.3.5 Oxytocin and amniotomy for induction of labor. |
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3.3.6 Western Washington Intracoronary Streptokinase Trial. |
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3.3.7 RSV immune globulin in infants and young children with respiratory syncytial virus. |
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3.3.8 A trial to assess episiotomy. |
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3.3.9 Canadian National Breast Cancer Screening Study. |
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3.3.11 Lifestyle Heart Trial. |
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3.3.12 Coronary Artery Surgery Study. |
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3.3.13 Etanercept for children with juvenile rheumatoid arthritis. |
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3.3.14 Edinburgh Randomized Trial of Breast-Cancer Screening. |
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3.3.15 Captopril Prevention Project. |
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3.3.16 G¨oteborg (Swedish) Mammography Trial. |
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3.3.17 HIP Mammography Trial. |
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3.3.18 Hypertension Detection and Follow-Up Program. |
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3.3.19 Randomized trial to prevent vertical transmission of HIV-1. |
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3.3.20 Effectiveness trial of a diagnostic test. |
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3.3.21 South African trial of high-dose chemotherapy for metastatic breast cancer. |
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3.3.22 Randomized study of a culturally sensitive AIDS education program. |
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3.3.23 Runaway Youth Study. |
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3.3.24 Cluster randomized trial of palliative care. |
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3.3.25 Randomized trial of methadone with or without heroin. |
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3.3.26 Randomized NINDS trial of tissue plasminogen activator for acute ischemic stroke. |
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3.3.27 Norwegian Timolol Trial. |
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3.3.28 Laparoscopic versus open appendectomy. |
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3.3.29 The Losartan Intervention for Endpoint Reduction in Hypertension (LIFE) Study. |
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3.3.30 The Heart Outcomes Prevention Evaluation (HOPE) Study. |
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3.4 In search of better evidence. |
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4 Impact of Selection Bias in Randomized Trials. |
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4.1 Quantifying the prediction of future allocations: balanced blocks. |
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4.2 Quantifying prediction of future allocations: unbalanced blocks. |
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4.3 Quantifying covariate imbalance resulting from selection bias. |
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4.4 Quantifying the bias resulting from covariate imbalance. |
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Part II: Actions to be Taken to Improve the Reliability of Medical Studies. |
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5 Preventing Selection Bias in Randomized Trials. |
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5.1 Minimizing the Impact of Selection Bias. |
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5.2 Biased Selection of Investigators. |
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5.3 Minimizing the prediction of future allocations. |
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5.3.1 The trade-off between selection bias and chronological bias. |
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5.3.3 Varying the block sizes. |
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5.3.4 The maximal procedure. |
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6 Detecting Selection Bias in Randomized Trials. |
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6.1 Baseline Imbalances in Observed Covariates. |
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6.2 Testing for selection bias without baseline analyses. |
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6.3 The selection covariate. |
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6.4 The role of the reverse propensity score in third-order residual selection bias. |
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6.5 Using the reverse propensity score To Test for selection bias: the Berger–Exner test and graph. |
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6.6 Using the screening log to test for selection bias. |
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6.7 The Ivanova-Barrier-Berger (IBB) Detection Method. |
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6.8 Interpreting negative tests of selection bias. |
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6.9 When should one test for selection bias? |
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6.10 Who should test for selection bias? |
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7 Adjusting for Selection Bias in Randomized Trials. |
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7.1 Methods proposed for addressing non-random baseline imbalances. |
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7.2 Selection bias arising from a complete lack of allocation concealment. |
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7.3 Selection bias arising from imperfect allocation concealment. |
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7.3.1 The RPS approach to adjusting for selection bias. |
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7.3.2 The Ivanova–Barrier–Berger (IBB) method for correcting selection bias. |
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8 Managing Selection Bias in Randomized Trials. |
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8.1 Action points during the design phase of the trial. |
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8.2 Action points during the conduct of the trial. |
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8.3 Action points during the analysis of trial data. |
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8.4 Action points by party. |
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