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14-September-2008 18:38:46 - Crossover study A crossover trial also referred to as a crossover study is a clinical trial in which patients are given all of the medications to be studied, or one medication and a placebo in random order. These studies are generally done on patients with chronic diseases to control their symptoms. The data are analyzed according to the original intention to treat. A crossover study has the advantage over a simple double-blind study that the variability between patients is minimized because each patient crossing over in effect serves as their own control. One disadvantage is that long term effects cannot be tracked with this approach. Another disadvantage is that curative therapies cannot be tested after one another or before a placebo. There are some important issues with respect to the design of cross-over studies. Two in particular may often crop up. First is the issue of order effects, because it is possible that the order in which treatments are administered may affect the outcome. An example might be a drug with many adverse effects given first, making patients taking a second, less harmful medicine, more sensitive to any adverse effect. Second is the issue of carry-over between treatments. In practice carry-over can be and is often dealt with by the use of a wash-out period between treatments, or by making observations sufficiently later after the start of a treatment period that any carry-over effect is minimized. See also randomization medicine hypothesis testing statistical inference evidence-based medicine systematic review meta-analysis double-blind randomized controlled trial References Bland M and Peacock J 2004. Statistical Questions in Evidence Based Medicine. New York: Oxford University Press. ISBN 0-19-262992-1 Retrieved from http://en..org/wiki/Crossover_study Categories: Clinical research | Pharmacology Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Deutsch Français This page was last modified on 13 May 2008, at 12:41
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