This book dissects medical research methodology and through a penetrating inquiry into its triumphs and tragedies explains why correct answers are so hard to achieve. What emerges from this inquiry is the unexpected and stunning conclusion that medical researchers can never be sure that they’ve ended up with a truthful answer. In It’s Great! readers learn why the quest for knowledge through clinical trials is fraught with problems that even the best researchers cannot overcome.
A fascinating gallery of cases illustrates the perils investigators face. Particular emphasis is given to the “clinical trial”, the so-called gold standard for medical research, and its seven fatal flaws show succinctly why getting the right research answer is so problematic. In example after example, the author challenges the notion that medical research is too complex for the average citizen to comprehend. Understanding the imperfect world of clinical research allows the reader to step up and begin to ask his or her own questions, to challenge conclusions, to have doubts and not be afraid to raise them. People who care about their health and the health of others should not be innocent bystanders; they have a right, maybe even an obligation to become involved. After all, it’s their health that is at stake.
Preface
Part One: Medical Research Explained
Chapter 1. Medical Research – Searching For Answers
Chapter 2. The Case-Control Method - Looking Backward
Chapter 3. The Cohort Study – Watchful Waiting
Chapter 4. The Clinical Trial - The Gold Standard
Chapter 5. Comparing The Methods – Qualitative Differences
Part Two: Understanding The Clinical Trial
Chapter 6. The Protocol - The Guiding Light
Chapter 7. The Control Group – Leveling The Playing Field
Chapter 8. Measurements – They’re Never Exact
Chapter 9. Bias Control – A Closer Look At Blinding And Randomization
Chapter 10. Utility –Are Clinical Trial Results Useful?
Chapter 11. Research Discrimination – Inadequately Tested Populations
Chapter 12. Seven Deadly Flaws – The Achilles’ Heel Of The Clinical Trial
Part Three: Tools Of The Trade
Chapter 13. Statistics – Was The Finding Significant?
Chapter 14. Analysis Issues – A Lot Of Choices
Chapter 15. The Meta Analysis - An Alternative To Large Trials
Part Four: The Real World
Chapter 16. Research Results that Clashed - What’s The Right Answer?
Chapter 17. Hormone Replacement Therapy - The Silver Bullet That Misfired
Chapter 18. Publishing – Getting The Word Out To Doctors
Chapter 19. Communicating – Sharing The News With The Public
Chapter 20. Product Development – Getting Discoveries To The Market
Chapter 21. Medical Innovation - Regulators, Resources And Results
Chapter 22. Science And Politics – A Troubling Mixture
Chapter 23. Research Misconduct - Irresistible Temptation
Chapter 24. Postmarketing Surveillance – An Imperfect System
Chapter 25. Regulatory Reform - Changes Needed
Chapter 26. Journey’s End – A Call For Action
Notes/Bibliography
Glossary
Index
Statement of Responsibility:
Ronald R. Gauch
Year:
2009
Publisher:
Dordrecht, Springer
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Classification:
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FO-20
ISBN:
9781402089060
ISBN (2nd):
1-4020-8906-6
Description:
XIII, 298 S.
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Language:
englisch||
Footnote:
Literaturangaben
Media group:
Dauerleihe