Commentary: Estimands in cluster trials: thinking carefully about the target of inferenceand the consequences for analysis choice.
Commentary: Estimands in cluster trials: thinking carefully about the target of inferenceand the consequences for analysis choice.
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DOI:
10.1093/ije/dyac174
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发表时间:
2023-02-08
影响因子:
7.7
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中科院分区:
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Cluster randomized trials (CRTs) are complex. 1 At the protocol development stage, we have to select an appropriate unit of randomization (which may depend on the unit of intervention delivery) and an appropriate unit of analysis (which may depend on the unit of observation). 2, 3 If the unit of randomization is different from the unit of analysis, we must account for clustering among multiple observations from the same cluster—a requirement that is well appreciated. 2 The unit of analysis may be either the individual or the cluster, with the choice ideally made on statistical grounds (although in practice it may reflect personal preference, convenience or experience). 3 The paper by Kahan and colleagues advises us that we also need to choose an a priori unit of inference and this choice is critical in selecting both the unit and the method of analysis. 4 We believe that the need to consider the target of inference before specifying the method of analysis has not received adequate attention in the cluster trials literature to date.
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