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Interpretation, difficulty 3 of 3

Why did the placebo arm improve?

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In the blood-pressure trial, systolic pressure fell by about 11 mmHg in the treatment arm — but it also fell by about 1.5 mmHg in the placebo arm. In two to four sentences, explain why the placebo arm improved and why the trial needed a randomised placebo group to estimate the tablet's effect.

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