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1.tClinical trial study design<br>2.tCohort Study design<br>3.tCase-Control Studies<br>4.tCross-Sectional Studies<br>5.tEcological Studies<br>6.tRandomized Clinical Trials<br><br>
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EPIDEMIOLOGYDESIGNS FORCLINICALTRIALS AnAcademicpresentationby Dr.NancyAgnes,Head,TechnicalOperations,Pubrica Group: www.pubrica.com Email:sales@pubrica.com
Today'sDiscussion Outline In-Brief Introduction FutureImpacts HealthcareDataCollectionStrategies MostPopularToolsforGatheringMedicalInformationInclude Conclusion
Introduction Choosing the best accessible preventive and therapeutic measures to evade disability and passingisasignificantobjectiveasfaras wellbeingmightbeconcernedspecialists. Toaccomplishthisobjective,weneedto perform considers that decide the estimation of theseactions. Contd...
Epidemiologyresearchalludestoexaminingailment,infections,andcausative reasons in population; epidemiology fills in as the highest quality level of population healthappraisal. Accessory, cross-sectional, and case-control considers are out and out demonstrated asobservational investigations. Consistently these studies are the fundamental commonsense strategy for thinking aboutvarious issues. A clinical preliminary's vital place is exploring the distinction of the patient gatherings causedexclusively bythe treatmentstrategies thatare applied.
ClinicalTrialStudyDesign Our goal in clinical researchis to design a study that will enable us to draw a true and significant scientific conclusionusingstatisticalmethodsthatcanbe appliedina “realworld”environment. Beforedecidingonaresearchdesign,onemust first define the study's goals and objectives, as well aschooseatargetpopulationthatisrepresentative ofthepopulation beingstudied. Contd...
Thefindingsofaresearchstudycaneitherenhancehealthcareorcausedamage topatients inadvertently. As a result, a well-designed clinical research study with a strong foundation of comprehensivemethodologyandadherencetoethicalstandardsisrequired. From an epidemiological perspective, there are two most important types of clinicalstudydesigns,ObservationalstudydesignandExperimentalstudydesign. Observationalstudiesarehypothesis‐generatingstudies,andtheycanbeagain dividedinto descriptivestudies and analyticstudies. Contd...
Descriptiveobservationalstudiesdescribetheexposureand/ortheoutcome, while analytic observational studies assess the relationship between the exposure andthe outcome. Hypothesis research studies, on the other hand, are experimental studies. It entails a procedure for determining whether there is a connection between the exposureand the outcome. Each study design is distinct, and so it would be critical to choose a design that wouldmostproperlyanswerthequestionandprovidethemostusefulinformation. Wewill be reviewingeach study designin detail.
ObservationalStudyDesigns COHORTSTUDYDESIGN Patients in cohort studies are initially divided into twoclassesbasedontheircontactstatus. The Cohorts are followed over time to see who in theexposedandnon-exposedclassesdevelops thedisease. Contd...
Retrospectiveorprospectivecohortstudiesarebothpossible. In contrast to a case-control study, which starts with diseased and non-diseased patients, a cohort study starts with exposed and unexposed patients, allowing for directcalculation of incidence. Acohortstudy'simpactiscalculatedusingrelativerisk. Recall bias is very minimal in cohort studies, and many results can be studied at thesame time. Cohortstudieshavethedrawbackofbeingmoresusceptibletoselectionbias. Contd...
Cohortresearchcanbeverycostlyandtime-consumingwhenresearchingrare diseasesand resultswith long follow-upperiods. CASE-CONTROLSTUDIES Contrasted with the cohort and cross-sectional studies, case-control considers aregenerally retrospective. Case-controlcontemplates easy to arrange and reflectively contrast two gatheringswith discoveringthe indicators ofa result. Contd...
Grantappraisaloftheimpactofindicatorsontheresultutilizingthecountofa chancesproportion. CROSS-SECTIONALSTUDIES Cross-sectionalstudiesareretrospectiveandincludeasnapshotoftheresearch subjects'characteristics ata specific pointin time. Cross-sectionalstudies,unlikecohortstudies,donotrequireafollow-upperiod andare thus relativelyeasy to perform. Contd...
The weakest of the observational designs, cross-sectional research design, cannotinclude cause-effect relationships. The exposure status and result of interest information are obtained in a single momentin time, often through surveys. Thismethodisoftenusedtodefinetheprevalenceofadiseaseinapopulation. ECOLOGICALSTUDIES Dataatthepersonlevelisinaccessible,orlarge-scalecomparisonsareneeded toinvestigatethepopulation-levelimpactofexposuresonadiseasecondition. Contd...
Ecologicalstudiesareused. As a consequence, ecological communitylevel. research findings are only valid at the In ecological studies, the types of measures used are aggregates of individual- leveldata. As a result, these studies are prone to a form of confounding known as an ecological fallacy, which arises when associations found in group data are presumedto hold forindividuals. Inpublichealthscience,ecologicalexperimentsarecommonlyused.
ExperimentalStudyDesigns RANDOMIZEDCLINICALTRIALS Thegoldstandardinclinicalresearchdesignis randomizedclinicaltrials,alsoknownas randomizedcontroltrials(RCT). InanRCT,theparticipantsarerandomlyassigned tooneoftwogroups:controlorexperimental. Contd...
RandomizationeliminatesconfoundingandreducesselectionbiasinRCTs.RandomizationeliminatesconfoundingandreducesselectionbiasinRCTs. This allows the researcher to establish identical experimental and control groups, allowingthem toisolate the intervention'sinfluence. The experimental group is exposed to/treated with a drug that may involve the cause,prevention, or treatmentof a disease. Thegroupsarethenfollowedinthefuturetoseewhodevelopsthedesiredoutcome. RCTsarecostly,andresearcherswhousethisstudyoftenencounterproblemswith randomizationintegrityduetorefusals,dropouts,crossovers,andnon-compliance.
Conclusion Therearenumerouspotentialwellspringsoferrorsthat canbringabout distortionsofstudy results. These bends are an issue, particularly when the disease transmission specialist assesses the relationship between arisk factor andamedical condition. Whetherariskfactororadefensivefactorgoes undetected, or typical conduct or condition is misidentified as a risk or defensive factor, the ramifications may bring genuineramificationsfor generalsociety. Contd...
superfluous dread of the restricted Amistakenlyrecognizeddanger amongpeople,orperhapsan investigationreserves. component may cause unnecessary redirection Disease transmission specialists leading observational examinations (cohort, go- sectional, and specifically case-control should be aware of predispositions' ability andapply extraconsideration toeliminate orcut theirresult. As a translator of reports, we, the overall population, must be aware of the suitable predispositions insuchreviewsafterweoutlinetheirdecisionsas recommendedby the masscommunications. ContactPubricaforanyclinicalproductdevelopmentservices.
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