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The Prevention and Treatment of Missing Data in Clinical Trials

The Prevention and Treatment of Missing Data in Clinical Trials PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 030918651X
Category : Medical
Languages : en
Pages : 163

Book Description
Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.

The Prevention and Treatment of Missing Data in Clinical Trials

The Prevention and Treatment of Missing Data in Clinical Trials PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 030918651X
Category : Medical
Languages : en
Pages : 163

Book Description
Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.

Phase II Evaluation Findings: The Segmental Concrete Channel Bridge System

Phase II Evaluation Findings: The Segmental Concrete Channel Bridge System PDF Author: Highway Innovative Technology Evaluation Center (U.S.)
Publisher: ASCE Publications
ISBN: 9780784474884
Category : Technology & Engineering
Languages : en
Pages : 116

Book Description
Prepared by the Highway Innovative Technology Evaluation Center (HITEC), a CERF Innovation Center. This report represents the second component of the HITEC technical evaluation of the J. Muller International Channel Bridge, a precast segmental overpass bridge system intended for use in either bridge replacement projects or new construction. This report describes a full-scale demonstration of the technology. The evaluation was conducted based on the technical evaluation plan developed in June 1995 and follows the technical analyses and evaluation of design attributes and performance history, with emphasis on the unique aspects of this technology.

National evaluation program phase 2 report

National evaluation program phase 2 report PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :

Book Description


Program Evaluation Research Task (PERT)

Program Evaluation Research Task (PERT) PDF Author:
Publisher:
ISBN:
Category : Fleet ballistic missile weapons systems
Languages : en
Pages : 116

Book Description


PERT Program Evaluation Research Task Summary Report, Phase 2

PERT Program Evaluation Research Task Summary Report, Phase 2 PDF Author: United States. Bureau of Naval Weapons. Special Projects Office
Publisher:
ISBN:
Category :
Languages : en
Pages : 44

Book Description


Evaluation Phase 1 AND Evaluation Phase 2 AND Parents Group Report

Evaluation Phase 1 AND Evaluation Phase 2 AND Parents Group Report PDF Author: Inner London Education Authority. Schools Support Unit
Publisher:
ISBN:
Category :
Languages : en
Pages :

Book Description


National Evaluation Program

National Evaluation Program PDF Author: USA National Evaluation Program
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

Book Description


Utilization-Focused Evaluation

Utilization-Focused Evaluation PDF Author: Michael Quinn Patton
Publisher: SAGE Publications, Incorporated
ISBN:
Category : Political Science
Languages : en
Pages : 376

Book Description
The second edition of Patton's classic text retains the practical advice, based on empirical observation and evaluation theory, of the original. It shows how to conduct an evaluation, from beginning to end, in a way that will be useful -- and actually used. Patton believes that evaluation epitomizes the challenges of producing and using information in the information age. His latest book includes new stories, new examples, new research findings, and more of Patton's evaluation humour. He adds to the original book's insights and analyses of the changes in evaluation during the past decade, including: the emergence of evaluation as a field of professional practice; articulation of standards for evaluation; a methodological synthesis of the qualitative versus quantitative debate; the tremendous growth of 'in-house' evaluations; and the cross-cultural development of evaluation as a profession. This edition also incorporates the considerable research done on utilization during the last ten years. Patton integrates diverse findings into a coherent framework which includes: articulation of utilization-focused evaluation premises; examination of the stakeholder assumption; and clarification of the meaning of utilization. --Publisher description.

Evaluating Programs to Increase Student Achievement

Evaluating Programs to Increase Student Achievement PDF Author: Martin H. Jason
Publisher: Corwin Press
ISBN: 1452211426
Category : Education
Languages : en
Pages : 209

Book Description
This updated edition on evaluating the effectiveness of school programs provides an expanded needs-assessment section, additional methods for data analysis, and tools for communicating program results.

Capturing Social and Behavioral Domains and Measures in Electronic Health Records

Capturing Social and Behavioral Domains and Measures in Electronic Health Records PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309312450
Category : Medical
Languages : en
Pages : 287

Book Description
Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.