Title
Comparing and Contrasting A Priori and A Posteriori Generalizability Assessment of Clinical Trials on Type 2 Diabetes Mellitus.
Abstract
Clinical trials are indispensable tools for evidence-based medicine. However, they are often criticized for poor generalizability. Traditional trial generalizability assessment can only be done after the trial results are published, which compares the enrolled patients with a convenience sample of real-world patients. However, the proliferation of electronic data in clinical trial registries and clinical data warehouses offer a great opportunity to assess the generalizability during the design phase of a new trial. In this work, we compared and contrasted a priori (based on eligibility criteria) and a posteriori (based on enrolled patients) generalizability of Type 2 diabetes clinical trials. Further, we showed that comparing the study population selected by the clinical trial eligibility criteria to the real-world patient population is a good indicator of the generalizability of trials. Our findings demonstrate that the a priori generalizability of a trial is comparable to its a posteriori generalizability in identifying restrictive quantitative eligibility criteria.
Year
Venue
Field
2017
AMIA
Generalizability theory,Population,Electronic data,Type 2 diabetes,A priori and a posteriori,Clinical trial,Intensive care medicine,Type 2 Diabetes Mellitus,Medicine,Population study
DocType
Volume
Citations 
Conference
2017
0
PageRank 
References 
Authors
0.34
0
8
Name
Order
Citations
PageRank
Zhe He1276.25
Arturo Gonzalez-Izquierdo212.32
Spiros Denaxas312.65
Andrei Sura401.01
Yi Guo558.47
William R. Hogan629453.52
Elizabeth Shenkman743.87
Jiang Bian815043.09