BMJ 1999;318:263 ( 23 January )

Letters

Randomised block design is more powerful than minimisation

The first 150 words of the full text of this article appear below.

EDITOR---I agree with Treasure and MacRae that the greatest determinant of the power of a study is its design.1 Minimisation improves power by comparing similar groups but there is a similar technique---randomised block design---which has even more power.2

In this design subjects are assigned to blocks on the basis of their characteristics---for example age, sex, or number of pack years smoked---and then randomly allocated to a treatment group within their block. In this way like is matched with like, and not only will the mean value of each confounding factor be similar in each group but the distribution will be identical in each treatment group. This means that the situation cannot arise in which two groups have the same average age but one comprises middle aged people and the other comprises half younger people and half older people.

The randomised block design also enables . . . [Full text of this article]


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Relevant Article

Minimisation: the platinum standard for trials?
Tom Treasure and Kenneth D MacRae
BMJ 1998 317: 362-363. [Extract] [Full Text]

This article has been cited by other articles:

  • Treasure, T., MacRae, K. D (1999). Minimisation is much better than the randomised block design in certain cases. BMJ 318: 1420-1420 [Full text]  

Rapid Responses:

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bmj.com, 4 Feb 1999 [Full text]
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Minimisation: the platinum standard for trials?
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