Unless an RCT was literally done in a laboratory, it is "real world data" Randomization is not magic, it just removes issues that are otherwise present in most studies
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Saying stuff like "you are ignoring REAL WORLD EVIDENCE" is nonsensical. All evidence is in the real world, some just has less biases than others
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Yes, in some cases RCTs will be LESS able to answer questions. But generally, especially for simple questions, they are much better than heavily biased non-randomized trials or ecological research
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