Understanding Noninferiority Trials: What Stroke Specialists Should Know.

IF 7.8 1区 医学 Q1 CLINICAL NEUROLOGY
Stroke Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI:10.1161/STROKEAHA.124.048024
Fabiano Cavalcante, Kilian M Treurniet, Manon Kappelhof, Johannes Kaesmacher, Hester F Lingsma, Jeffrey L Saver, Jan Gralla, Urs Fischer, Charles B Majoie, Yvo B W E M Roos
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引用次数: 0

Abstract

Noninferiority trials aim to prove that the efficacy, defined in terms of a key clinical outcome, of a new treatment is not meaningfully worse than that of an established active control. Noninferiority trials are important when other aspects of care can be improved, such as convenience, toxicity, costs, and safety (nonefficacy benefits). While the motivation for a noninferiority trial is straightforward, the design, execution, and interpretation of these trials is not a trivial task. Several safeguards that protect superiority trials from incorrect conclusions do not apply or even work in reverse for noninferiority trials. This review aims to provide stroke clinicians and researchers with a general overview of noninferiority trials and a deeper understanding of 10 pitfalls they should consider when designing and interpreting such trials.

了解非劣效性试验:中风专科医生须知。
非劣效性试验旨在证明,根据关键临床结果定义的新治疗的疗效并不明显差于已建立的主动对照。当护理的其他方面可以得到改善时,如便利性、毒性、成本和安全性(无疗效益处),非劣效性试验是重要的。虽然非劣效性试验的动机是直截了当的,但这些试验的设计、执行和解释并不是一项微不足道的任务。一些保护优势试验不受错误结论影响的保障措施并不适用于非劣效性试验,甚至与之相反。本综述旨在为卒中临床医生和研究人员提供非劣效性试验的总体概述,并更深入地了解他们在设计和解释此类试验时应考虑的10个陷阱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Stroke
Stroke 医学-临床神经学
CiteScore
13.40
自引率
6.00%
发文量
2021
审稿时长
3 months
期刊介绍: Stroke is a monthly publication that collates reports of clinical and basic investigation of any aspect of the cerebral circulation and its diseases. The publication covers a wide range of disciplines including anesthesiology, critical care medicine, epidemiology, internal medicine, neurology, neuro-ophthalmology, neuropathology, neuropsychology, neurosurgery, nuclear medicine, nursing, radiology, rehabilitation, speech pathology, vascular physiology, and vascular surgery. The audience of Stroke includes neurologists, basic scientists, cardiologists, vascular surgeons, internists, interventionalists, neurosurgeons, nurses, and physiatrists. Stroke is indexed in Biological Abstracts, BIOSIS, CAB Abstracts, Chemical Abstracts, CINAHL, Current Contents, Embase, MEDLINE, and Science Citation Index Expanded.
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