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Defining estimands in anaesthesia clinical trials: a scoping review and framework
Gethmini A Siriwardena1, Sarah Luu2, Rukshala K Gunaratne1
1Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Estimands are rarely used in anesthesia trials, hindering outcome interpretation. A new tool aids in identifying and managing intercurrent events for clearer anesthesia research.
Area of Science:
- Clinical Trials
- Anesthesiology
- Biostatistics
Background:
- Intercurrent events like treatment changes are common in anesthesia trials.
- These events can complicate the interpretation of primary outcomes.
- The estimand framework offers a structured approach to address these challenges.
Conclusions:
- The application of estimands in anesthesia trials is currently limited.
- A novel tool was developed to assist in the structured identification and management of intercurrent events.
- Enhanced collaboration and consistent use of the estimand framework are crucial for improving the clarity and interpretability of anesthesia research.
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