Misplaced obsession with prospectively randomized studies

被引:18
作者
Gleicher, Norbert [1 ,2 ]
Barad, David H. [1 ,3 ,4 ]
机构
[1] New York & Fdn Reprod Med, CHR, Medicine, NY USA
[2] Yale Univ, Sch Med, Dept Obstet Gynecol & Reprod Sci, New Haven, CT USA
[3] Albert Einstein Coll Med, Dept Epidemiol & Social Med, Bronx, NY 10467 USA
[4] Albert Einstein Coll Med, Dept Obstet Gynecol & Women Hlth, Bronx, NY 10467 USA
关键词
best available evidence; randomized controlled trial; study design; CONTROLLED-TRIAL; MEDICINE; INTERVENTIONS; BENEFITS; THERAPY; AUTHORS; RISKS; WOMEN; RATES;
D O I
10.1016/j.rbmo.2010.06.042
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Medical care should be based on best available evidence. While randomized controlled trials (RCT) are currently considered a gold standard of study design, they are not always available and do not represent the only study format that can lead to best available evidence. This communication argues that overvaluation of RCT and undervaluation of other study formats in establishing best available evidence hurts progress in reproductive medicine and in medicine in general. (C) 2010, Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:440 / 443
页数:4
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