|
Purpose: When performing clinical trials, missing data from withdrawn patients should be
evaluated differently, depending on the reason for the withdrawal of the patients. The
question is, if a certain type of patient drops out, will that affect the result? Could a
randomly selected sample of a study population be used for analyses instead of evaluating
each and every patient? The purpose of this study was to answer these questions. Materials
and Methods: Detailed information on 1,738 implants in 487 patients was pooled together
in a new database and used for statistical evaluations. Random or selected withdrawals
were pulled from the database. Chi-squared tests were used for significance tests, and
lifetables were used for survival analysis. Results: There was a difference in the outcome
depending on whether the withdrawals were randomly chosen or selected. Random
withdrawals could represent, in this study, as much as 50% of the included patients
without changing the statistical results. If selected withdrawals were based on which jaw
was treated, the statistical outcome did change, but it did not change if withdrawals were
based on gender or age. Conclusion: Evaluation of reasons for withdrawals and withdrawn
patient characteristics are of utmost importance when evaluating clinical trials. A randomly
selected sample of the entire population could, however, be expected to give the same
statistical value as the entire group, if the original material were large enough. Therefore,
the use of study samples may more easily enable clinicians to do follow-up investigations.
Int J Prosthodont 2003;16:25–30.
|