Comparative Effectiveness Research Using Randomized Trials and Observational Studies: Validity and Feasibility Considerations.
PMID: 40719151 · 2026
Abstract
In comparative effectiveness research (CER), ensuring internal, construct, and external validity is crucial. Internal validity determines whether observed outcomes are causally linked to an intervention; construct validity assesses whether a study measures what it intends to; and external validity relates to generalizability in routine practice. Double-blind randomized trials optimize internal validity by minimizing bias and confounding, while construct validity is strengthened through pre-speci
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