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Which Study Results Are the Most Helpful in Making Cancer Care Decisions?
    Posted: 06/12/2003



Introduction






Clinical Trials Are Experimental & Prospective






What's a Phase III Clinical Trial?






Controlled Studies Allow Comparisons






Randomization: Chance, Not Choice







To Blind or Not to Blind






Study Size Matters






Example 1: A Cancer Treatment Trial






Example 2: A Cancer Prevention Trial






Summary: Questions to Ask About a Cancer Study



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To Blind or Not to Blind

A word about blinded studies.

When possible, medical researchers like to blind, or mask, their clinical trials. In a single-blinded trial, participants do not know whether they are in the intervention group or the control group until the trial ends. In a double-blinded trial, neither investigators nor participants know which group a participant is assigned to until the trial's conclusion.

Blinding is another way of reducing bias that may distort a study's results. For example, investigators may behave differently toward participants whom they know are receiving the experimental intervention.

However, blinding is not always feasible. In a trial comparing surgery with chemotherapy, for example, blinding would be impossible -- both doctors and participants would know which intervention was being applied.

Cancer prevention clinical trials are sometimes blinded, but cancer treatment trials rarely are.

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