Shortcomings of randomized trials have long been recognized by medical researchers
[
1
,
2
]. These shortcomings include a reduced range of risk factors for the outcome among
patients enrolled in preapproval trials. The reduced range enhances the validity of
the trials, but the patient populations are highly selected compared with the broad
range of risk factors represented among patients who are eventually treated with the
drug. This restriction may reduce the generalizability of the findings from those
studied to those with different baseline risks.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Clinical EpidemiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Powerful medicines: the benefits, risks, and costs of prescription drugs.Knopf, New York2004
Strom BL, ed. Pharmacoepidemiology. 4th ed. West Sussex: Wiley & Sons; 2005.
- New insights on the relation between untreated and treated outcomes for a given therapy.J Clin Epidemiol. 2008; 61: 301-307
- Causes.Am J Epidemiol. 1976; 104: 587-592
- A strengthening programme for weak associations.Int J Epidemiol. 1988; 17: 955-959
- Rothman K.J. Greenland S. Modern Epidemiology. 2nd ed. Lippincott Williams & Wilkins, Philadelphia1998
- Insights into different results from different causal contrasts in the presence of effect-measure modification.Pharmacoepidemiol Drug Saf. 2006; 15: 698-709
- The future of drug safety: promoting and protecting the health of the public.National Academy Press, Washington DC2007
- The importance of critically interpreting simulation studies.Epidemiology. 1997; 8: 453-456
- Performance of propensity score calibration—a simulation study.Am J Epidemiol. 2007; 165: 1110-1118
- Effect of concomitant use of benzodiazepines and other drugs on the risk of injury in a veterans population.Drug Safety. 2005; 28: 1141-1150
- Models for profiling the potential QT prolongation risk of drugs.Curr Opin Drug Discov Devel. 2002; 5: 127-135
- Modeling and simulation of cancer immunoprevention vaccine.Bioinformatics. 2005; 21: 2891-2897
- The marketplace can't give us the drug safety data we need.MedGenMed. 2007; 9: 29
Article info
Publication history
Published online: January 07, 2008
Accepted:
July 12,
2007
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.