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Intention-to-treat analysis — USMLE Step 3 MCQ

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ModeratePreventive Medicine, Epidemiology, BiostatisticsIntention-to-treat analysisUSMLE Step 3

A randomized trial compares two diabetes medications. Ten percent of participants stop the assigned drug because of adverse effects. Investigators analyze participants in their originally assigned groups. Which of the following is the most likely explanation for this patient's findings?

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Correct answer: CPreservation of the benefits of randomization

Intention-to-treat analysis preserves randomization and better reflects real-world effectiveness.

Reference: USPSTF methods; CDC epidemiology and biostatistics principles