Evidence map›Paper›PMID 34091766›Full record

ArticleEuropean journal of epidemiology2021

Prioritisation and design of clinical trials.

Anna Heath, M G Myriam Hunink, Eline Krijkamp, Petros Pechlivanoglou

Abstract read
In one paragraph

Article in European journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. A Pragmatic Bayesian Adaptive Trial Design Based on the Value of Information: The Value-Driven Adaptive Design.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
    Article
  2. Review
  3. Making Drug Approval Decisions in the Face of Uncertainty: Cumulative Evidence versus Value of Information.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Emerging Therapies for COVID-19: The Value of Information From More Clinical Trials.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022
    Article
  9. Prioritizing Research in an Era of Personalized Medicine: The Potential Value of Unexplained Heterogeneity.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Anna Heath *Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-7263-4251
M G Myriam Hunink *Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, Netherlands. m.hunink@erasmusmc.nl.ORCID http://orcid.org/0000-0002-2942-2798
Eline Krijkamp *Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, Netherlands.ORCID http://orcid.org/0000-0003-3970-2205
Petros Pechlivanoglou *Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-5090-7936

Funding

CIHR MYG-151207Gordon and Betty Moore Foundation GBMF7853
6 · The paper itself

Abstract

Clinical trials require participation of numerous patients, enormous research resources and substantial public funding. Time-consuming trials lead to delayed implementation of beneficial interventions and to reduced benefit to patients. This manuscript discusses two methods for the allocation of research resources and reviews a framework for prioritisation and design of clinical trials. The traditional error-driven approach of clinical trial design controls for type I and II errors. However, controlling for those statistical errors has limited relevance to policy makers. Therefore, this error-driven approach can be inefficient, waste research resources and lead to research with limited impact on daily practice. The novel value-driven approach assesses the currently available evidence and focuses on designing clinical trials that directly inform policy and treatment decisions. Estimating the net value of collecting further information, prior to undertaking a trial, informs a decision maker whether a clinical or health policy decision can be made with current information or if collection of extra evidence is justified. Additionally, estimating the net value of new information guides study design, data collection choices, and sample size estimation. The value-driven approach ensures the efficient use of research resources, reduces unnecessary burden to trial participants, and accelerates implementation of beneficial healthcare interventions.

Indexed as

Clinical Trials as TopicResearch DesignData CollectionHealth PolicyHumansResearchClinical trial designResearch resourcesType I and type II errorsUncertaintyValue-driven researchValue of information analysis

Identifiers

PMID34091766
PMCPMC8629779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.