Restricted randomization

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Restricted randomization is a method used in experimental design and statistics to limit the randomness in an experiment in order to achieve balance between experimental groups. This method is often used in clinical trials to ensure that the number of subjects in each group is equal or nearly equal.

Overview[edit | edit source]

In a randomized controlled trial, subjects are randomly assigned to either the treatment group or the control group. However, in some cases, simple randomization can lead to imbalance between the groups. This imbalance can affect the validity of the study results. To prevent this, researchers may use restricted randomization.

Restricted randomization involves using a randomization procedure that is designed to limit the chance of imbalance. There are several types of restricted randomization, including block randomization, stratified randomization, and covariate adaptive randomization.

Types of Restricted Randomization[edit | edit source]

Block Randomization[edit | edit source]

In block randomization, the subjects are divided into blocks, and within each block, an equal number of subjects are assigned to each group. This ensures that the groups are balanced after each block is completed.

Stratified Randomization[edit | edit source]

Stratified randomization involves dividing the subjects into strata based on certain characteristics, such as age or gender. Within each stratum, subjects are randomly assigned to the groups. This ensures that the groups are balanced with respect to the stratifying variables.

Covariate Adaptive Randomization[edit | edit source]

In covariate adaptive randomization, the randomization procedure takes into account the covariates of the subjects. The aim is to balance the groups not only in terms of the number of subjects, but also in terms of the distribution of the covariates.

Advantages and Disadvantages[edit | edit source]

Restricted randomization can help to ensure balance between the groups, which can increase the validity of the study results. However, it can also introduce bias, as the randomization procedure is no longer completely random. In addition, it can be more complex and time-consuming to implement than simple randomization.

See Also[edit | edit source]

Restricted randomization Resources
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Contributors: Prab R. Tumpati, MD