Leveraging observational data to identify targeted patient populations for future randomized trials

Author:

Lazzareschi Daniel V.1,Fong Nicholas1,Pirracchio Romain1,Mathis Michael R.2,Legrand Matthieu3ORCID

Affiliation:

1. UCSF: University of California San Francisco

2. U-M: University of Michigan

3. University of California San Francisco

Abstract

Abstract Randomized controlled trials reported in the literature are often affected by poor generalizability, and pragmatic trials have become an increasingly utilized workaround approach to overcome logistical limitations and explore routine interventions demonstrating equipoise in clinical practice. Intravenous albumin, for example, is commonly administered in the perioperative setting despite lacking supportive evidence. Given concerns for cost, safety, and efficacy, randomized trials are needed to explore the clinical equipoise of albumin therapy in this setting, and we therefore present an approach to identifying populations exposed to perioperative albumin to encourage clinical equipoise in patient selection and optimize study design for clinical trials.

Publisher

Research Square Platform LLC

Reference10 articles.

1. Overcoming barriers in the design and implementation of clinical trials for Acute Kidney Injury: a report from the 2020 Kidney Disease Clinical Trialists meeting;Lazzareschi D;Nephrol Dial Transplant,2022

2. Lazzareschi D, Fong N, Mavrothalassitis O et al. Intraoperative use of albumin in major non-cardiac surgery: Incidence, variability, and association with outcomes.Ann Surg2022; In print: In print

3. Considerations for Integration of Perioperative Electronic Health Records Across Institutions for Research and Quality Improvement: The Approach Taken by the Multicenter Perioperative Outcomes Group;Colquhoun DA;Anesth Analg,2020

4. Acute Intravascular Volume Expansion with Rapidly Administered Crystalloid or Colloid in the Setting of Moderate Hypovolemia;McIlroy DR;Anesth Analg,2003

5. Albumin Kinetics in Patients Undergoing Major Abdominal Surgery;Norberg Ã;PLoS ONE,2015

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3