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The Research Question and the Hypothesis
Pages 3-9
The aim of this text is to provide the framework for building a clinical trial as it pertains to operative and non operative invasive procedures, how to get it funded and how to conduct such a trial up to publication of results
The text provides all details of building a scientifically and ethically valid proposal, including how to build the infrastructure for a clinical trial and how to move it forward through various funding agencies. The text also presents various types of clinical trials, the use of implantable devices and FDA requirements, and adjuncts to clinical trials and interaction with industry
Clinical Trials Design in Invasive Operative and Non Operative Procedures will be of interest to all specialists of surgery, anesthesiologists, interventional radiologists, gastroenterologists, cardiologists, and pulmonologists
The Research Question and the Hypothesis
Pages 3-9
Primary and Secondary Endpoints
Pages 11-20
Intervention and Control Groups
Pages 21-28
Subject Selection
Pages 29-37
Clinical Phases of Device and Drug Evaluation with Emphasis on Early Phase Trials
Pages 41-50
Overview of the Randomized Clinical Trial and the Parallel Group Design
Pages 51-58
Non-inferiority and Equivalence Trials
Pages 59-68
Factorial Designs
Pages 69-77
Cross-over Trials
Pages 79-86
Cluster Randomized Clinical Trials
Pages 87-97
Adaptive Trial Designs
Pages 99-107
Pragmatic Trials
Pages 109-114
Point-of-Care Clinical Trials
Pages 115-122
Basic Statistical Considerations
Pages 125-132
Methods and Timing of Randomization
Pages 133-140
Sample Size Calculation
Pages 141-150
Principles of Analysis
Pages 151-162
Advanced Statistical Methods
Pages 163-179
Missing Data
Pages 181-188
Interim Monitoring
Pages 189-196
Ethical Considerations in Clinical Trials
Pages 199-203
IRB and Review Process for Multisite Trials
Pages 205-207
Trial Advertising
Pages 209-210
Payment to Research Participants
Pages 211-213
Conflict of Interest
Pages 215-217
Quality Control in Procedural Studies
Pages 221-234
Pilot Studies
Pages 235-244
Surgeon Training and the Learning Curve
Pages 245-250
Using a Placebo or Sham Procedure as a Control: Ethics and Practicalities
Pages 251-257
Patient Recruitment and Retention in Procedural Trials
Pages 259-267
Equipoise in Interventional Trials
Pages 269-276
Setting up a Clinical Trial Research Office
Pages 279-284
Regulatory Considerations: The Clinical Research Coordinator
Pages 285-292
Data Collection Forms
Pages 293-302
Data Security
Pages 303-311
Remote Monitoring of Data Quality
Pages 313-318
Investigators’ Meetings
Pages 319-322
Site Visits
Pages 323-328
Data Safety Monitoring Board: Composition and Role
Pages 329-334
Endpoints Committee
Pages 335-339
Regulatory Issues with Devices in Clinical Trials
Pages 341-346
Trial Registration and Public Access to Data
Pages 347-354
Mistakes in Clinical Trials
Pages 357-367
Combined Drugs and Procedure Trials
Pages 371-379
Genomics in Clinical Trials
Pages 381-390
Biomarkers as Adjuncts to Clinical Trials
Pages 391-400
Patient-Centered Designs (and Outcomes)
Pages 401-408
Economic Evaluations
Pages 409-426
Telemedicine and Mobile Technology
Pages 427-431
Budgeting for a Clinical Trial
Pages 435-440
Funding a Clinical Trial
Pages 443-450
Writing Your Grant for the Patient-Centered Outcomes Research Institute (PCORI)
Pages 451-457
Designing Clinical Trials for Quality and Impact: The Department of Veterans Affairs Approach to Developing a Cooperative Study
Pages 459-470
Publication
Pages 473-483
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