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Pragmatische genestelde case-controlstudie×Pragmatisch gerandomiseerd klinisch onderzoek×
VakgebiedEpidemiologieEpidemiologie
FamilieProcess / pipelineProcess / pipeline
Jaar van ontstaan1977 (nested case-control); pragmatic variant emerged in real-world evidence research from 1990s onwards1967
GrondleggerDuncan Thomas (nested case-control); pragmatic design concept from Schwartz & Lellouch (1967)Daniel Schwartz & Joseph Lellouch
TypeObservational epidemiological study designInterventional study design
Oorspronkelijke bronThomas, D. C. (1977). Addendum to: Methods of cohort analysis: Appraisal by application to asbestos mining. Journal of the Royal Statistical Society, Series A, 140(4), 469–491. link ↗Schwartz, D., & Lellouch, J. (1967). Explanatory and pragmatic attitudes in therapeutical trials. Journal of Chronic Diseases, 20(8), 637–648. DOI ↗
Aliassenreal-world nested case-control, pragmatic NCC, nested case-control in routine data, real-world evidence nested case-controlpragmatic RCT, effectiveness trial, real-world RCT, practical clinical trial
Verwant56
SamenvattingA pragmatic nested case-control study embeds a case-control analysis within a pre-existing real-world cohort — typically drawn from electronic health records, administrative claims, or disease registries — to examine associations between exposures and outcomes under routine clinical conditions. Controls are sampled from the risk set (those still at risk at the time each case occurs), preserving temporal sequence while dramatically reducing data-collection costs compared with a full cohort analysis.A pragmatic randomized clinical trial (pragmatic RCT) is an interventional study that tests whether a treatment works under routine clinical conditions, as opposed to the tightly controlled setting of an explanatory trial. It prioritizes broad eligibility, flexible delivery, and patient-relevant outcomes to answer the question 'Does this treatment work in everyday practice?' rather than 'Can this treatment work under ideal circumstances?' The distinction between pragmatic and explanatory trials was formally articulated by Schwartz and Lellouch in 1967 and operationalized by the PRECIS tool in 2009.
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ScholarGateMethoden vergelijken: Pragmatic nested case-control · Pragmatic randomized clinical trial. Geraadpleegd op 2026-06-18 via https://scholargate.app/nl/compare