N-of-1 crossover

Random allocation for treatment comparisons can be used to compare different treatments given at different times in random order to the same patient.


JLL Essay
2.2 The need to compare like-with-like in treatment comparisons

Comparing like with like

 

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Paré A (1575)
1575 Les oeuvres de M. Ambroise Paré conseiller, et premier chirurgien du Roy avec les figures & portraicts tant de l'Anatomie que des instruments de Chirurgie, & de plusieurs Monstres. [The works of M. Ambroise Paré, advisor, and first surgeon to the King, with figures and portraits concerning anatomy as well as surgical instruments, and several monsters] Paris: Gabriel Buon.

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Wiseman R (1676)
Eight chirugical treatises. London: R Royston, p 123.

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Parry CH (1786)
Experiments relative to the medical effects of Turkey Rhubarb, and of the English Rhubarbs, No. I and No. II made on patients of the Pauper Charity. Letters and Papers of the Bath Society 11:431-453.

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Haygarth J (1800)
Of the imagination, as a cause and as a cure of disorders of the body: exemplified by fictitious tractors, and epidemical convulsions. Bath: R. Crutwell.

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Hogben L, Sim M (1953)
The self-controlled and self-recorded clinical trial for low grade morbidity. British Journal of Preventative and Social Medicine 7,163-179.

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Baskerville JC, Toogood JH, Mazza J, Jennings B. (1984)
Clinical trials designed to evaluate therapeutic preferences. Statistics in Medicine; 3:45–55.

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Guyatt G, Sackett D, Taylor DW, Chong J, Roberts R, Pugsley S (1986)
Determining optimal therapy-randomized trials in individual patients. New England Journal of Medicine 314:889-92.

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Guyatt GH, Keller JL, Jaeschke R, Rosenbloom D, Adachi JD, Newhouse MT (1990)
The n-of-1 randomized controlled trial: clinical usefulness. Our three-year experience. Annals of Internal Medicine 112:293-299.

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Lindsey JK, Jones B (1996)
A model for cross-over trials evaluating therapeutic preferences. Statistics in Medicine 15:443–7.

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Zucker DR, Schmid CH, McIntosh MW, D'Agostino RB, Selker HP, Lau J (1997)
Combining single patient (N-of-1) trials to estimate population treatment effects and to evaluate individual patient responses to treatment. Journal of Clinical Epidemiology 50:410-410.

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Davidson I, Hillier VF (2002)
Comparison of four methods of allocation for clinical trials with small sample sizes. Physiotherapy 88;12:722-729, ISSN 0031-9406.

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Punja S, Xu D, Schmid CH, Hartling L, Urichuk L, Nikles CJ, Vohra S (2016)
N of 1 trials can be aggregated to generate group mean treatment effects: A systematic review and meta-analysis. Journal of Clinical Epidemiology 76:65-75.

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Howick J (2016).
Aulus Cornelius Celsus and ‘empirical’ and ‘dogmatic’ medicine JLL Bulletin: Commentaries on the history of treatment evaluation.

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La Rochelle P (2017).
Using randomized, double-blind, n-of-1 trials of food challenge to diagnose food allergy and assess the effectiveness of food allergen avoidance. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Mirza RD, Punja S, Vohra S, Guyatt G (2017).
The history and development of N of 1 trials. JLL Bulletin: Commentaries on the history of treatment evaluation.

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