Multiple Chronic Diseases in Patient Safety, Preventive & Ethics — Case | Epidemiology & Biostatistics | SMLE Q#17085

SMLE Question #17085

Patient Safety, Preventive & Ethics Epidemiology & Biostatistics

Objective: OBJ-367

Last updated: February 2026
A randomized controlled trial at a single tertiary cancer centre evaluates a new chemotherapy for advanced solid tumours. Eligibility excluded significant cardiovascular, renal, or hepatic comorbidity. Most participants were aged 30–49 years. The intervention group had a 15% absolute improvement in 5-year survival versus standard therapy. Investigators wish to apply the results to the national cancer population, including older adults with multiple chronic diseases. Which study feature most limits external validity?

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