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Dr Vivekanand Jha, New Delhi 31 December 2018

Patients with kidney disease need better management, which will occur through more and better clinical studies.
Recognize the need for, and complementary nature of, a variety of designs and approaches.
Observational studies can get the effect of intervention wrong, usually in favor of the intervention.
Why do we need clinical trials? - Essential to the development of new medical treatments and diagnostic tests; Allow testing and monitoring of the effect of a treatment on a large number of people to ensure that any improvement as a result of the treatment occurs for many people and is not just a random effect; New intervention will usually be compared against a control (placebo or an established intervention already in use).
Clinical trials improve healthcare services by raising standards of treatment. Doctors and hospital staff involved in clinical trials are continually trained to provide best practice patient care.
New approaches to clinical trials - Culture change; Trial networks: bigger and better trials; Patient engagement; Novel trial designs: Registry-based trials, adaptive designs; Standardized core outcomes.
Studies should be - focused on information needs; robust in design and reporting; measure relevant outcomes; use methods to increase relevance to routine care.

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