typically conducted in either (1) within registries or (2) as subgroup analyses within randomized clinical trials.Registries are generally created with a specific disease, treatment, or population of interest, and can occur within a specific institution, network of institutions, or geographic region within which clinically relevant outcomes are recorded.
Subgroup analyses within clinical trials include any subset for which patients are not randomly assigned. Because subgroups are not randomly assigned, subgroup analyses share all the strengths and weaknesses of conventional observational studies, such as confounding and multiple hypotheses testing, and provide a similar level of evidence.1]
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Reference
https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-019-1131-4