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When two accepted treatments are equally reasonable, the computer system would offer to randomise the choice and track the result, turning ordinary care into a continuous trial.
Learning health systems embed randomisation into workflow where genuine equipoise exists (dose schedules, supportive care, sequencing). The US Veterans Affairs system and the NHS have run point-of-care trials; oncology has few. The proposal builds a reusable EHR module (consent, randomisation, outcome capture via registry linkage) so that any cancer network can run a low-cost comparative effectiveness trial in weeks.
Shares Real-world evidence, Data silos.
Shares Real-world evidence, Data silos.
Shares Real-world evidence, Trials enrol too few, too slowly, Trial design, endpoints and cost.
Shares Real-world evidence, Data silos.
Shares Real-world evidence, Data silos.
Shares Trials enrol too few, too slowly, Trial design, endpoints and cost.
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