Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health
SPECIAL ARTICLE |
Invited Commentary: Ethics and Sample SizeAnother View
From the Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA.
Received for publication August 5, 2004; accepted for publication September 15, 2004.
| The first 10% of the full text of this article appears below. |
In their article entitled, "Ethics and Sample Size," Bacchetti et al. (1) provide a spirited justification, based on ethical considerations, for the conduct of clinical trials that may have little potential to provide powerful tests of therapeutic or public health hypotheses. This perspective is somewhat surprising given the longstanding encouragement by clinical trialists and bioethicists in favor of large trials (24). Heretofore, the defenders of smaller trials have essentially argued only that small, underpowered trials need not be unethical if well conducted given their contribution to intervention effect estimation and their potential contribution to meta-analyses (5
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Related articles in Am. J. Epidemiol.:
- Ethics and Sample Size
- Peter Bacchetti, Leslie E. Wolf, Mark R. Segal, and Charles E. McCulloch
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