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High risk (low control)

Accrual outside hospital / department

Many doctors including patients

Prognostic factor studies with high patient burden:

e.g. baseline and repeated follow up imaging

Low risk (keep in control):

Accrual inside department (screening in advance)

Research nurse or physician (accrual and logistics)

Less burden for treating physicians

Keep study design simple and not to burdensome for

patients

Prospective data registration

Threats for low accrual / low compliance