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Chargement... Testing Treatments: Better Research for Better Healthcarepar Imogen Evans
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Aucun Actuellement, il n'y a pas de discussions au sujet de ce livre. ![]() ![]() SINOPSIS: ¿Cómo sabemos si un fármaco, una terapia u operación en particular funciona realmente y qué tan bien? ¿Qué tan confiable es la evidencia clínica? Estas preguntas urgentes y oportunas se plantean y resuelven en esta indagación profunda sobre la investigación clínica moderna, con implicaciones de gran alcance para la práctica médica diaria y la atención al paciente. Lo que surge de este estudio es la sorprendente verdad de que la investigación clínica no es ni tan imparcial ni tan relevante como los pacientes tienen todo el derecho a esperar, pero que todos, pacientes, médicos e investigadores, pueden hacer mucho para cambiar la práctica actual y lograr una mejor atención médica. Dirigido tanto a pacientes como a profesionales, Testing Treatments construye un argumento vivo y estimulante para una investigación mejor, más confiable y más relevante, con ensayos imparciales o "justos". y explica cómo los pacientes pueden trabajar con los médicos para lograr este objetivo vital. Investigado de manera experta y exhaustiva, el comentario rápido explora una amplia gama de estudios de casos reveladores, amenizados por entretenidas anécdotas y vívidos relatos de testigos extraídos de la experiencia directa de pacientes, médicos e investigadores. A menudo sorprendente, a veces inquietante, pero nunca pesimista, Testing Treatments sigue siendo esencialmente pragmático y de tono constructivo, instando a todos a participar activamente en las condiciones cambiantes y describiendo qué pasos prácticos pueden tomar los médicos y los pacientes juntos para mejorar la investigación actual y el tratamiento futuro . amenizado por entretenidas anécdotas y vívidos relatos de testigos extraídos de la experiencia directa de pacientes, médicos e investigadores. A menudo sorprendente, a veces inquietante, pero nunca pesimista, Testing Treatments sigue siendo esencialmente pragmático y de tono constructivo, instando a todos a participar activamente en las condiciones cambiantes y describiendo qué pasos prácticos pueden tomar los médicos y los pacientes juntos para mejorar la investigación actual y el tratamiento futuro . amenizado por entretenidas anécdotas y vívidos relatos de testigos extraídos de la experiencia directa de pacientes, médicos e investigadores. A menudo sorprendente, a veces inquietante, pero nunca pesimista, Testing Treatments sigue siendo esencialmente pragmático y de tono constructivo, instando a todos a participar activamente en las condiciones cambiantes y describiendo qué pasos prácticos pueden tomar los médicos y los pacientes juntos para mejorar la investigación actual y el tratamiento futuro . This book is ideal for the lay person who wants to understand the basics about clinical trials and evidence based medicine. Even better, this book is available as a PDF free from the testingtreatments.org website. It is explained in very clear language and gives plenty of historical examples where poor research has led to increased human suffering and wasted research. This book gives a great introduction to the basics of clinical trial design as it relates to reducing bias, and more importantly, does a wonderful job of explaining just why clinical trials are so important. Advances in medical knowledge are predicated on the use of bias-reducing scientific strategies which are often ignored due to convincing “evidence” that arises out of case studies and anecdotal experiences. There are many problems with medicine evolving absent the clinical trial, however. Physicians operating outside of the clinical trial framework, and merely applying those treatments they think, or intuit, are best, are unregulated by clinical trial guidelines requiring consent and so patients are often not honestly informed about the physicians lack of knowledge about what the best treatment is. Treatments which are adopted and which become “gold standards” for certain conditions before rigorous testing is done often turn out to do more harm than good. Studies not predicated on careful reviews of the scientific literature can put subjects in harms way by unnecessarily exposing them to treatments which have already been proven inferior. The under-reporting of negative results from clinical trials can cause systematic reviews to conclude a treatment is significantly more efficacious than it actually is. And the involvement of the pharmaceutical industry in clinical trials has resulted in significant amounts of limited research resources being devoted to unimportant questions, while funding for needed studies is seriously lacking. All of this is presented in a context intended to inform the general population. Evans et. al. set themselves a heavy task, as their stated aim is to get the public informed about these issues so that doctors, patients, and researchers can all work together to determine what the important questions are that do need answering, and move forward with important and needed research. Part of this is motivating patients to want to be in clinical trials, to understand that participation can be of very real benefit to them, and not just to future patients. An interesting read, although clearly not written for, or directed at, those in the clinical research or research ethics fields. This is more an educational tool directed at lay persons. aucune critique | ajouter une critique
How do we know whether a particular treatment really works? How reliable is the evidence? And how do we ensure that research into medical treatments best meets the needs of patients? These are just a few of the questions addressed in a lively and informative way in Testing Treatments. Brimming with vivid examples, Testing Treatments will inspire both patients and professionals. Building on the success of the first edition, Testing Treatments has now been extensively revised and updated. The Second Edition includes a thought-provoking chapter on screening, explaining why early diagnosis is not always better. Other new chapters explore how over-regulation of research can work against the best interests of patients, and how robust evidence from research can be drawn together to shape the practice of healthcare in ways that allow treatment decisions to be reached jointly by patients and clinicians. Testing Treatments urges everyone to get involved in improving current research and future treatment, and outlines practical steps that patients and doctors can take together. Aucune description trouvée dans une bibliothèque |
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![]() GenresClassification décimale de Melvil (CDD)610.72Technology Medicine and health Medicine Study and Teaching Medical researchClassification de la Bibliothèque du CongrèsÉvaluationMoyenne:![]()
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