Design of treatment trials for functional gastrointestinal disorders. (1st September 1999)

• Record Type: Journal Article
• Authors: van Zanten, S J O Veldhuyzen; Talley, N J; Bytzer, P; Klein, K B; Whorwell, P J; Zinsmeister, A R
• Is Part Of: Gut. Volume 45(1999)Supplement 2
• Page Start: II69
• Page End: II77
• Publication Date: 1999-09-01
• Subjects: clinical trial -- random allocation -- functional gastrointestinal disorder(s) -- dyspepsia -- functional dyspepsia -- irritable bowel syndrome -- evidence based medicine -- study design -- outcome measures -- Rome II; Gastroenterology -- Periodicals; 616.33
• DOI: 10.1136/gut.45.2008.ii69
• Languages: English
• ISSNs: 0017-5749

Abstract

Abstract : Until recently many clinical trials of functional gastrointestinal disorders (FGIDs) suffered from important weaknesses in trial design, study execution, and data analysis. This makes it difficult to determine whether truly efficacious therapies exist for these disorders. One of the important methodologic problems is the absence of validated outcome measures and lack of consensus among stakeholders on how to measure outcome. Currently much of the effort is being put into the development of validated outcome measures for several of the FGIDs. The randomized, controlled trial with parallel groups is the design of choice. In this report, guidelines are given for the basic architecture of intervention studies of FGIDs. Further studies on design issues are required to ensure the recommendations will become evidence based in the future.