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Randomised Controlled Trials in Diabetes Research: A Pathway to Interpreting Published Results

机译:糖尿病研究中的随机对照试验:解释公布结果的途径

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Although the importance of real-world evidence should not be underestimated, randomised controlled trials (RCTs) remain the gold standard for direct treatment comparisons. Over the last two decades, numerous publications have presented results of RCTs investigating the safety and efficacy of therapies for the treatment of type 2 diabetes, for example long-acting basal insulin analogues [1–14]. RCTs such as these use a robust design and methodology that aims to avoid confounders and determine differences between basal insulins. However, interpreting the results of RCTs and making judgements about the quality of evidence and how results may be applicable to diabetes management can be difficult for healthcare practitioners (HCPs) because of differing trial methodologies, analysis plans, and endpoints.
机译:虽然现实世界证据的重要性不应低估,但随机对照试验(RCT)仍然是直接治疗比较的黄金标准。 在过去的二十年中,许多出版物提出了RCT的结果,调查治疗2型糖尿病的疗法的安全性和功效,例如长效基础胰岛素类似物[1-14]。 RCT,如这些使用稳健的设计和方法,旨在避免混淆并确定基础胰岛素之间的差异。 但是,解释RCT的结果并对证据质量进行判断以及如何适用于糖尿病管理的结果,因为不同的试验方法,分析计划和端点,医疗保健从业者(HCP)可能难以困难。

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