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    Clinical & TrialsClinical Evidence

    Lost to Follow-up

    Subjects whose outcome data are missing because they did not complete planned visits.

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed May 5, 2026

    Definition

    Loss to follow-up reduces power, biases estimates if non-random, and is a leading reason for clinical-trial credibility concerns. Sponsors should pre-specify thresholds, sensitivity analyses, and retention strategies.

    What this means in practice

    Long-term implant studies and digital therapeutic trials are particularly prone to LTFU; remote follow-up models can mitigate but introduce data-quality questions.

    Primary references

    3 sources
    Link health: 3 verified· last checked 2026-05-09
    ICH·2ISO·1
    1. 1
      ICH E9(R1)
      Verified
      ICHich.org
    2. 2
      ICH Guidelines
      Verified
      ICHich.org
    3. 3
      ISO 14155 Standard Page
      Verified
      ISOiso.org

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