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10.1016/j.jclinepi.2017.01.011

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suck abstract from ncbi


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pmid28188899
      J+Clin+Epidemiol 2017 ; 84 (ä): 185-187
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  • Publication of comparative effectiveness research has not increased in high-impact medical journals, 2004-2013 #MMPMID28188899
  • Hester LL ; Poole C ; Suarez EA ; Der JS ; Anderson OG ; Almon KG ; Shirke AV ; Brookhart MA
  • J Clin Epidemiol 2017[Apr]; 84 (ä): 185-187 PMID28188899 show ga
  • OBJECTIVE: To explore the impact of increasing interest and investment in patient-centered research, this study sought to describe patterns of comparative effectiveness research (CER) and patient-reported outcomes (PROs) in pharmacologic intervention studies published in widely read medical journals from 2004-2013. DESIGN AND SETTING: We identified 2335 articles published in five widely read medical journals from 2004-2013 with ?1 intervention meeting the US Food and Drug Administration's definitions for a drug, biologic, or vaccine. Six trained reviewers extracted characteristics from a 20% random sample of articles (468 studies). We calculated the proportion of studies with CER and PROs. Trends were summarized using locally-weighted means and 95% confidence intervals. RESULTS: Of the 468 sampled studies, 30% used CER designs and 33% assessed PROs. The proportion of studies using CER designs did not meaningfully increase over the study period. However, we observed an increase in the use of PROs. CONCLUSIONS: Among pharmacological intervention studies published in widely read medical journals from 2004-2013, we identified no increase in CER. Randomized, placebo-controlled trials continue to be the dominant study design for assessing pharmacologic interventions. Increasing trends in PRO use may indicate greater acceptance of these outcomes as evidence for clinical benefit.
  • |*Research Design [MESH]
  • |Comparative Effectiveness Research/methods/*statistics & numerical data [MESH]
  • |Humans [MESH]


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