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. 2010 May 4;340:c2073. doi: 10.1136/bmj.c2073

Different methods of analysing a randomised controlled trial

Explanation Benefits Negatives
As treated Analyses by treatment received Easy to calculate
Tries to address patient oriented question
Results in non-random omission bias
Per protocol Omits all participants who do not follow protocol Easy to calculate
Tries to address patient oriented question
Results in non-random omission bias
Intention to treat Analyses by randomisation, ignores whether treatment received Easy to assess
Provides good estimate of the effect of recommending a treatment to study population
Underestimates value of receiving the treatment
Contamination adjusted intention to treat Analyses by randomisation, adjusts for whether treatment received Provides good estimate of an individual’s risks and benefits of receiving a treatment Overestimates population level treatment benefits
Somewhat more difficult calculation