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The need for randomization in the study of intended effects

Statistics in MedicinePublished 1 April 1983
Olli S. Miettinen
Citations278
SJR quartileQ1
SJR score1.27
SNIP1.33

TL;DR

The need for randomization as a means of controlling confounders is accentuated in the study of intended effects (efficacy) as compared with unintended ones (toxicity), because the indication for intervention is inherently a confounder in theStudy of efficacy but not of toxicity.

Abstract

The need for randomization as a means of controlling confounders is accentuated in the study of intended effects (efficacy) as compared with unintended ones (toxicity). The basic reason is that the indication for intervention is inherently a confounder in the study of efficacy but not of toxicity, whereas contraindications represent only a minor confounder even in toxicity research. Moreover, control of the indication in non-experimental terms is commonly infeasible owing to the complexity and subtlety of the indication.

Keywords

Mathematics