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Clinical Research Center-Based Investigations and Evidence-Based Medicine

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Part of the book series: Contemporary Endocrinology ((COE))

Abstract

The last decade of the 20th century saw the emergence of a new paradigm in clinical decision making with the appearance of evidence-based medicine (EBM) (1). The ultimate in the hierarchy of evidence in EBM is the randomized controlled clinical trial (RCT). Unfortunately, the N-of-1 RCT, ideal for evaluating the effectiveness of interventions in the individual patient, is rarely feasible or if feasible, is rarely conducted.

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References

  1. Montori VM, Guyatt GH. What is evidence-based medicine? Endocrinol Metab Clin North Am 2002;31:521–526

    Article  PubMed  Google Scholar 

  2. Brown MS, Goldstein JL. Receptor-mediated control of cholesterol metabolism. Science 1976;191:150–154.

    Article  PubMed  CAS  Google Scholar 

  3. Parulkar AA, Pendergrass ML, Granda-Ayala R, Lee TR, Fonseca VA. Nonhypoglycemic effects of thiazolidinediones. Ann Intern Med 2001;134:61–71.

    PubMed  CAS  Google Scholar 

  4. Angell M. The Truth About the Drug Companies: How They Deceive Us and What to Do About It. Random House, New York, NY, 2004.

    Google Scholar 

  5. Graham DJ, Drinkard CR, Shatin D. Incidence of idiopathic acute liver failure and hospitalized liver injury in patients treated with troglitazone. Am J Gastroenterol 2003;8:175–179.

    Article  Google Scholar 

  6. Fleming TR, DeMets DL. Surrogate end points in clinical trials: are we being misled? Ann Intern Med 1996;125:605–613.

    PubMed  CAS  Google Scholar 

  7. Davison S, Davis SR. New markers for cardiovascular disease risk in women: impact of endogenous estrogen status and exogenous postmenopausal hormone therapy. J Clin Endocrinol Metab 2003;88:2470–2478.

    Article  PubMed  CAS  Google Scholar 

  8. Grady D, Herrington D, Bittner V, et al. For HERS Research Group. Cardiovascular disease outcomes during 6.8 years of hormone therapy: Heart and Estrogen/progestin Replacement. Study follow-up (HERS II). JAMA 2002;288:49–57.

    Article  PubMed  Google Scholar 

  9. Anderson GL, Limacher M, Assaf AR, et al. For the Women’s Health Initiative Steering Committee effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women’s Health Initiative randomized controlled trial. JAMA 2004;291:1701–1712.

    Article  PubMed  CAS  Google Scholar 

  10. Montori VM, Jaeschke R, Schünemann HJ, et al. Users’ guide to detecting misleading claims in clinical research reports. BMJ 2004;329:1093–1096.

    Article  PubMed  Google Scholar 

  11. Davis BR, Furberg CD, Wright JT Jr, Cutler JA, Whelton P; ALLHAT Collaborative Research Group. ALLHAT: setting the record straight. Ann Intern Med 2004;141:39–46

    PubMed  Google Scholar 

  12. Eichenwald K, Kolata G. A doctor’s drug trials turn into fraud. New York Times, May 17, 1999, Section A, pp.1.

    Google Scholar 

  13. Bhandari M, Busse JW, Jackowski D, et al. Association between industry funding and statistically significant pro-industry findings in medical and surgical randomized trials. CMAJ 2004;170:477–480.

    PubMed  Google Scholar 

  14. Fitzgerald GA. Coxibs and cardiovascular disease. N Engl J Med 2004;351:1709–1411.

    Article  PubMed  CAS  Google Scholar 

  15. DeAngelis CD, Drazen JM, Frizelle FA, et al. Clinical trial registration: a statement from the International Committee of Medical Journal Editors. JAMA 2004;292:1363–1364.

    Article  PubMed  CAS  Google Scholar 

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© 2006 Mayo Foundation for Medical Education and Research

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Isley, W.L. (2006). Clinical Research Center-Based Investigations and Evidence-Based Medicine. In: Montori, V.M. (eds) Evidence-Based Endocrinology. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-008-9_11

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  • DOI: https://doi.org/10.1007/978-1-59745-008-9_11

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-579-8

  • Online ISBN: 978-1-59745-008-9

  • eBook Packages: MedicineMedicine (R0)

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