Global collaboration between platform trials in surgery and anaesthesia.

Glasbey, James; Webb, Steve A; Peel, Trisha; Pinkney, Thomas D; Myles, Paul S · Br J Surg · 2024

review · Level V

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Abstract

Large, randomized trials are the bedrock of evidence-based medicine, but the resources required to complete such trials greatly limit the number of important clinical questions that can be addressed within a reasonable period of time. Adaptive platform trials can identify effective, ineffective, or harmful treatments faster. These trials have been shown to deliver rapid evidence through the COVID-19 pandemic and are now being adopted across surgery and anaesthesia, with many opportunities for surgeons, anaesthetists, and other perioperative physicians to conduct and collaborate in platform trials.

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