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Inclusion Exclusion Criteria Dissertation Topics

In a clinical trial, the investigators must specify inclusion and exclusion criteria for participation in the study.

Inclusion criteria are characteristics that the prospective subjects must have if they are to be included in the study, while exclusion criteria are those characteristics that disqualify prospective subjects from inclusion in the study. Inclusion and exclusion criteria may include factors such as age, sex, race, ethnicity, type and stage of disease, the subject’s previous treatment history, and the presence or absence (as in the case of the “healthy” or “control” subject) of other medical, psychosocial, or emotional conditions.

Inclusion and exclusion criteria are meant to ensure patients safety during the study, provide data (justification) of subject appropriateness for the study, to minimize withdrawal (also costs) and ensure that primary end-points of study are reached.

Exclusion criteria[edit]

Poorly Justified Reasons for Exclusion:[1]

  • Any criteria unless the condition or intervention is specific to the criterion, or the criterion has a direct bearing on condition/intervention/results.

Strongly Justified Reasons for Exclusion:[1]

  • Unable to provide informed consent
  • Placebo or intervention would be harmful
  • Lack of equipoise (intervention harmful)
  • Effect of intervention difficult to interpret

Potentially Justified Reasons for Exclusion[1]

  • Individual may not adhere
  • Individual may not complete follow up
  • Individuals do not have reliable information

Example of inclusion and exclusion criteria[edit]

Coronary Heart Disease[2]

Include criteria:

  • Minimum outcomes: coronary deaths & non-fatal myocardial infarction
  • Appropriate measures of Framingham variables (Age, sex, LDL, HDL, total cholesterol, diabetes, smoking status, hypertension)
  • Cohort, nested case-control, cardiovascular trial follow-up study (or systematic review or meta-analysis of these study types) that measures a novel risk factor and estimates its predictive value after adjusting for Framingham variables

Exclude criteria:

  • No data
  • Population or sub-population with known coronary disease or coronary disease equivalent (e.g., diabetes)
  • Does not include minimum outcomes
  • Does not measure Framingham variables appropriately
  • Wrong study design/article format

See also[edit]

References[edit]

External links[edit]

  1. ^ abcVan Spall, Harriette (21 March 2007). "Eligibility criteria of randomized controlled trials published in high-impact general medical journals: a systematic sampling review". The Journal of the American Medical Association. 297 (11): 1233–40. doi:10.1001/jama.297.11.1233. PMID 17374817. 
  2. ^Helfand M, Buckley D, Fleming C, et al. (2009). Screening for Intermediate Risk Factors for Coronary Heart Disease. Rockville (MD): Agency for Healthcare Research and Quality (US). 

Inclusion and exclusion criteria set the boundaries for the systematic review.  They are determined after setting the research question usually before the search is conducted, however scoping searches may need to be undertaken to determine appropriate criteria.  Many different factors can be used as inclusion or exclusion criteria. Information about the inclusion and exclusion criteria is usually recorded as a paragraph or table within the methods section of the systematic review.   It may also be necessary to give the definitions, and source of the definition, used for particular concepts in the research question (e.g. adolescence, depression).
 

Other inclusion/exclusion criteria can include the sample size, method of sampling or availability of a relevant comparison group in the study.  Where a single study is reported across multiple papers the findings from the papers may be merged or only the latest data may be included.

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