在大量引用的临床研究中,相互矛盾的和最初更强烈的效应
1Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece. jioannid@cc.uoi.gr
JAMA
|July 15, 2005
概括
高度引用的临床研究往往与其相矛盾,或者比后来的研究显示出更强烈的效果. 非随机化研究更容易产生矛盾,但即使是随机化试验也可以被反驳,特别是较小的.
科学领域:
- 临床研究是临床研究.
- 医疗干预 医学干预
- 研究影响力研究影响力
背景情况:
- 当临床研究结果相矛盾时,就会产生争议.
- 高影响力研究特别容易引起辩论.
- 了解影响力研究中的反驳模式至关重要.
研究的目的:
- 确定高度引用的临床研究中矛盾或夸大效应的频率.
- 识别随着时间的推移与反驳有影响力的研究相关的特征.
主要方法:
- 1990年至2003年出版的原始临床研究研究的分析,被引用超过1000次.
- 将大量引用的研究与随后的可比研究进行比较.
- 与匹配的,较少引用的研究进行比较分析.
主要成果:
- 16%的大量引用的研究存在矛盾;16%的研究显示出比后来的研究更强烈的效应.
- 非随机的高度引用的研究比随机对照试验 (P = .008) 更频繁地被反驳.
- 较小的随机试验更有可能被反驳或显示出更强的效应 (P = .009).
结论:
- 在备受引用的临床干预研究中,矛盾和夸大效应是常见的.
- 高度引用的非随机化研究最容易引起争议.
- 即使是大量引用的随机试验,特别是较小的随机试验,也可以受到挑战和反驳.
相关概念视频
Combined Effects of Drugs: Antagonism
9.9K
The combined effects of drugs can result in various interactions, of which an important type is antagonism. Antagonism is a mechanism where one drug inhibits or counteracts the effects of another drug. Antagonism can occur through various means, including receptor binding, allosteric modulation, functional interaction, chemical reactions, and pharmacokinetic processes.
The most common type is receptor antagonism, where one drug acts as an antagonist to block the effects of another drug by...
The most common type is receptor antagonism, where one drug acts as an antagonist to block the effects of another drug by...
9.9K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
217
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
217
Bias in Epidemiological Studies
886
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
886
Clinical Trials: Overview
4.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.0K
Combined Effects of Drugs: Synergism
5.4K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
5.4K
The Placebo Effect
6.5K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.5K


