Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/30971
Title: Pragmatic platform trials to improve the outcome of patients with acute kidney injury.
Austin Authors: Tallarico, Roberta T;Serpa Neto, Ary ;Legrand, Matthieu
Affiliation: Division of Critical Care Medicine, Department of Anesthesia & Perioperative Care, University of California, San Francisco (UCSF), San Francisco, California, USA..
Australian and New Zealand Intensive Care Research Centre (ANZIC-RC)
Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Department of Critical Care, University of Melbourne, Melbourne, Victoria, Australia
Intensive Care
School of Public Health and Preventive Medicine, Monash University.
Issue Date: 29-Sep-2022
Date: 2022
Publication information: Current Opinion in Critical Care 2022; 28(6)
Abstract: There is an important need for diagnostic strategies and treatment among patients with acute kidney injury (AKI). Classical randomized clinical trials have generated relevant results in AKI but are associated with shortcomings, such as high costs and sometimes lack of generalizability. In this minireview, we discuss the value and limits of pragmatic trials and platform trials for AKI research. The implementation of pragmatic and platform trials in critical care settings has generated relevant clinical evidence impacting clinical practice. Pragmatic and platform designs have recently been applied to patients at risk of AKI and represent a crucial opportunity to advance our understanding of optimized treatment and strategies in patients at risk of AKI or presenting with AKI. Trials embedded in electronic health records can facilitate patient enrollment and data collection. Platform trials have allowed for a more efficient study design. Although both pragmatic and platform trials have several advantages, they also come with the challenges and shortcomings discussed in this review. Pragmatic and platform trials can provide clinical answers in 'real-life' settings, facilitate a significant sample size enrollment at a limited cost, and provide results that can have a faster implementation in clinical practice.
URI: https://ahro.austin.org.au/austinjspui/handle/1/30971
DOI: 10.1097/MCC.0000000000000990
Journal: Current Opinion in Critical Care
PubMed URL: 36170383
Type: Journal Article
Appears in Collections:Journal articles

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