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Adaptiivne diagnostilise täpsuse uuring×Adaptiivne randomiseeritud kliiniline uuring×
ValdkondEpidemioloogiaEpidemioloogia
PerekondProcess / pipelineProcess / pipeline
Tekkeaasta2000s–2010s (adaptive designs codified for diagnostics ~2010s)Late 1990s–2000s (widespread adoption post-2010)
LoojaAdaptation of STARD framework (Bossuyt et al.) combined with adaptive design principles (Jennison & Turnbull; FDA guidance)Donald Berry and colleagues; formalized by FDA guidance in 2010 and 2019
TüüpAdaptive observational/experimental study designExperimental clinical trial design
AlgallikasBossuyt, P. M., Reitsma, J. B., Bruns, D. E., Gatsonis, C. A., Glasziou, P. P., Irwig, L., ... & Cohen, J. F. (2015). STARD 2015: an updated list of essential items for reporting diagnostic accuracy studies. BMJ, 351, h5527. DOI ↗Berry, D. A. (2006). Bayesian clinical trials. Nature Reviews Drug Discovery, 5(1), 27–36. DOI ↗
Rööpnimetusedadaptive DTA study, adaptive diagnostic test evaluation, adaptive test accuracy trial, adaptive STARD studyadaptive RCT, adaptive trial design, response-adaptive randomization trial, adaptive clinical trial
Seotud66
KokkuvõteAn adaptive diagnostic accuracy study evaluates how well an index test distinguishes between patients with and without a target condition, while incorporating pre-specified interim analyses that allow modifications — such as sample size re-estimation, threshold adjustment, or subgroup enrichment — based on accumulating data. This design improves efficiency and ethical conduct compared to fixed-sample diagnostic studies, particularly when prior prevalence or test performance data are uncertain.An adaptive randomized clinical trial (adaptive RCT) is a prospective experimental study that uses pre-specified rules to modify one or more trial aspects — such as sample size, allocation ratios, or treatment arms — based on accumulating data collected during the trial itself, while maintaining statistical validity and integrity of the study.
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ScholarGateVõrdle meetodeid: Adaptive Diagnostic Accuracy Study · Adaptive Randomized Clinical Trial. Loetud 2026-06-18 aadressilt https://scholargate.app/et/compare