Observational Versus Experimental Studies: What's the Evidence for a Hierarchy?

被引:82
作者
Concato J. [1 ]
机构
[1] Department of Internal Medicine, Yale University School of Medicine, New Haven
来源
NeuroRX | 2004年 / 1卷 / 3期
关键词
bias; case control studies; clinical trials; Cohort studies; evidence-based medicine;
D O I
10.1602/neurorx.1.3.341
中图分类号
学科分类号
摘要
The tenets of evidence-based medicine include an emphasis on hierarchies of research design (i.e., study architecture). Often, a single randomized, controlled trial is considered to provide "truth," whereas results from any observational study are viewed with suspicion. This paper describes information that contradicts and discourages such a rigid approach to evaluating the quality of research design. Unless a more balanced strategy evolves, new claims of methodological authority may be just as problematic as the traditional claims of medical authority that have been criticized by proponents of evidence-based medicine. © 2004 The American Society for Experimental NeuroTherapeutics, Inc.
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页码:341 / 347
页数:6
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