Understanding explanatory and pragmatic trials: Examples from randomized controlled trials on vertebroplasty

J Eneling, TE Darsaut, M Patel, J Raymond - Neurochirurgie, 2023 - Elsevier
… We review the explanatorypragmatic distinction in clinical trial design. We use the
PRECIS-2 tool to evaluate the trial design of selected RCTs on percutaneous vertebroplasty for …

Trends in the explanatory or pragmatic nature of cardiovascular clinical trials over 2 decades

N Sepehrvand, W Alemayehu, D Das, AK Gupta… - JAMA …, 2019 - jamanetwork.com
study of 616 cardiovascular randomized clinical trials, the level of pragmatism assessed by
the Pragmatic Explanatory … of cardiovascular trials that are required for broader application of …

Clinical trials overview: from explanatory to pragmatic clinical trials

J Le-Rademacher, H Gunn, X Yao, DJ Schaid - Mayo Clinic Proceedings, 2023 - Elsevier
apply to both explanatory trials and pragmatic trials, they require even more care in … use of
these tools, continued learning after initial training, and a standardized practice improvement

[HTML][HTML] Process evaluation within pragmatic randomised controlled trials: what is it, why is it done, and can we find it?—a systematic review

C French, H Pinnock, G Forbes, I Skene, SJC Taylor - Trials, 2020 - Springer
… interest in the use of pragmatic randomised controlled trials (RCTs) … Pragmatic RCTs, in
contrast to explanatory RCTs, aim to … enhanced generalisability to real-world clinical practice [6]. …

[HTML][HTML] Explanatory and pragmatic trials in orthopaedics–Have we done the right studies?

NS Makaram, AHRW Simpson - Injury, 2023 - Elsevier
… rise in the number of randomised clinical trials (RCTs) being … (an enhanced level of observation
being provided in both trial … Of course, the use of expertise-based pragmatic clinical trials

Treatment effectiveness, generalizability, and the explanatory/pragmatic-trial distinction

S Tresker - Synthese, 2022 - Springer
… literature on pragmatic randomized controlled trials (RCTs). The … of Medicine, are explanatory
trials that use placebo controls. In … She states, “in cases where enhanced social value is …

Effect of pragmatic versus explanatory interventions on medication adherence in people with cardiometabolic conditions: a systematic review and meta-analysis

C Fitzpatrick, C Gillies, S Seidu, D Kar, E Ioannidou… - BMJ open, 2020 - bmjopen.bmj.com
… synthesise findings from randomised controlled trials (RCTs) … If you wish to reuse any or all
of this article please use the … led to a statistically significant improvement in odds of adherence …

Pragmaticism of randomized controlled trials of biologic treatment with methotrexate in rheumatoid arthritis: a systematic review

MY Choi, C Barnabe, CE Barber… - Arthritis Care & …, 2019 - Wiley Online Library
… first study to systematically evaluate the pragmatism of trials … Most randomized controlled
trials were rated as explanatory (… clinical context of the trial (eg, restricting prior DMARD use in a …

Study characteristics impacted the pragmatism of randomized controlled trial published in nursing: a meta-epidemiological study

F Devos, F Foissac, N Bouazza, PY Ancel… - Journal of clinical …, 2019 - Elsevier
pragmatism/explanatory continuum of randomized controlled … it, can help to guide the
improvement of quality of care. … use of PRECIS-2 may be another limitation of this study. Indeed, …

[HTML][HTML] The need for increased pragmatism in cardiovascular clinical trials

MS Usman, HGC Van Spall, SJ Greene… - Nature Reviews …, 2022 - nature.com
… The majority of cardiovascular randomized controlled trials (… in routine clinical settings or if
any improvement in cardiovascular … characteristics of explanatory and pragmatic RCTs across …