2023
DOI: 10.3171/2023.2.jns221937
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Clinical trial implementation: a primer for neurosurgeons

Abstract: In the current landscape of evidence-based medicine, prospective clinical trials are an important avenue through which to establish the efficacy and safety of biomedical treatments compared with standard-of-care interventions. Depending on their scope and aims, clinical trials can be extremely costly and time intensive, and significant coordination is needed to ensure optimal utilization of healthcare resources, adherence to the principles of biomedical ethics, and appropriate interpretation of study results. … Show more

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“…There are lessons to be learned from successful and unsuccessful trials to optimize future clinical study and limit the lost financial, administrative, and physical investment associated with unsuccessful clinical trials. 15 Here, we review successful and unsuccessful DBS-related clinical trials and assess causes of early trial termination to identify factors associated with unsuccessful trials. We also review trials that highlight the current state of DBS for neuropsychiatric conditions.…”
Section: Introductionmentioning
confidence: 99%
“…There are lessons to be learned from successful and unsuccessful trials to optimize future clinical study and limit the lost financial, administrative, and physical investment associated with unsuccessful clinical trials. 15 Here, we review successful and unsuccessful DBS-related clinical trials and assess causes of early trial termination to identify factors associated with unsuccessful trials. We also review trials that highlight the current state of DBS for neuropsychiatric conditions.…”
Section: Introductionmentioning
confidence: 99%