question archive Were the comparison groups similar with respect to important determinants of outcome other than the one of interest? For example, when comparing teaching hospitals with non-teaching hospitals, the question must be asked: 'Are the two groups of patients similar from the point of view, for example, of the prognosis?'
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Were the comparison groups similar with respect to important determinants of outcome other than the one of interest?
For example, when comparing teaching hospitals with non-teaching hospitals, the question must be asked: 'Are the two groups of patients similar from the point of view, for example, of the prognosis?'. Useful appraisal questions to ask include:
• Did the investigators measure all known important prognostic factors?
• Were measures of patients' prognostic factors reproducible and accurate?
• Did the investigators show the extent to which patients differ on these factors?
• Did the researchers use some form of multivariate analysis to adjust for all the important prognostic factors?
• Did additional analysis (particularly in low-risk subgroups) demonstrate the same results as the primary analysis?