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다기관 코호트 연구×무작위 임상시험 (RCT)×
분야역학역학
계열Process / pipelineProcess / pipeline
기원 연도Mid-to-late 20th century (widespread adoption 1970s–1990s)1948 (first rigorously conducted RCT — MRC streptomycin trial)
창시자Developed incrementally through large collaborative epidemiological projects (e.g., Framingham Heart Study consortium expansions, 1948 onward; EPIC study, 1992)Austin Bradford Hill; MRC Streptomycin Trial team
유형Observational longitudinal studyInterventional experimental study
원전Rothman, K. J., Greenland, S., & Lash, T. L. (2008). Modern Epidemiology (3rd ed.). Lippincott Williams & Wilkins. ISBN: 978-0781755641Friedman, L. M., Furberg, C. D., DeMets, D. L., Reboussin, D. M., & Granger, C. B. (2015). Fundamentals of Clinical Trials (5th ed.). Springer. ISBN: 978-3319185385
별칭multisite cohort study, multi-centre cohort, collaborative cohort study, pooled cohort studyRCT, randomized controlled trial, randomised controlled trial, clinical randomized trial
관련66
요약A multicenter cohort study follows defined groups of participants at two or more geographically or institutionally distinct sites over time to estimate incidence, identify risk factors, and quantify associations between exposures and outcomes. By pooling data from multiple centers, it achieves statistical power and population diversity that single-site designs cannot match, making it the workhorse of large-scale epidemiological and clinical research.A randomized clinical trial (RCT) is an experimental study design in which participants are randomly assigned to an intervention group or a control group, then followed prospectively to compare outcomes. Random allocation is the defining feature: it distributes known and unknown confounders across groups by chance, making the RCT the strongest individual study design for establishing causal efficacy of a treatment or intervention under controlled conditions.
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