The penumbra of randomized control trials

Pre-occupation with randomized control trials as the basis of evidence-based medicine has increasingly shadowed other study designs over the last half a century. These include surveys, case-control studies, and case-cohort studies. They have the potential to overcome several ethical and cost constra...

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Main Author: Arun S Nanivadekar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Perspectives in Clinical Research
Subjects:
Online Access:http://www.picronline.org/article.asp?issn=2229-3485;year=2013;volume=4;issue=3;spage=157;epage=159;aulast=Nanivadekar
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author_facet Arun S Nanivadekar
author_sort Arun S Nanivadekar
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description Pre-occupation with randomized control trials as the basis of evidence-based medicine has increasingly shadowed other study designs over the last half a century. These include surveys, case-control studies, and case-cohort studies. They have the potential to overcome several ethical and cost constraints, but depend on the embedding of research in routine practice, emphasis on relevant but limited, accurate, and complete data, harnessing of information technology for this purpose, and epidemiological and statistical literacy among clinicians. Only then will it be possible to nurture and network research-oriented practices by therapeutic areas. Given these, the alternative study designs can pave the way to regulatory reforms that will ultimately benefit the discoverers, approvers and users of health-care tools.
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spelling doaj.art-74cb38d8242a4e92867967a043fb9aef2022-12-22T02:51:21ZengWolters Kluwer Medknow PublicationsPerspectives in Clinical Research2229-34852013-01-014315715910.4103/2229-3485.115371The penumbra of randomized control trialsArun S NanivadekarPre-occupation with randomized control trials as the basis of evidence-based medicine has increasingly shadowed other study designs over the last half a century. These include surveys, case-control studies, and case-cohort studies. They have the potential to overcome several ethical and cost constraints, but depend on the embedding of research in routine practice, emphasis on relevant but limited, accurate, and complete data, harnessing of information technology for this purpose, and epidemiological and statistical literacy among clinicians. Only then will it be possible to nurture and network research-oriented practices by therapeutic areas. Given these, the alternative study designs can pave the way to regulatory reforms that will ultimately benefit the discoverers, approvers and users of health-care tools.http://www.picronline.org/article.asp?issn=2229-3485;year=2013;volume=4;issue=3;spage=157;epage=159;aulast=NanivadekarNon-randomized control trial designspractice-embedded researchregulatory reforms
spellingShingle Arun S Nanivadekar
The penumbra of randomized control trials
Perspectives in Clinical Research
Non-randomized control trial designs
practice-embedded research
regulatory reforms
title The penumbra of randomized control trials
title_full The penumbra of randomized control trials
title_fullStr The penumbra of randomized control trials
title_full_unstemmed The penumbra of randomized control trials
title_short The penumbra of randomized control trials
title_sort penumbra of randomized control trials
topic Non-randomized control trial designs
practice-embedded research
regulatory reforms
url http://www.picronline.org/article.asp?issn=2229-3485;year=2013;volume=4;issue=3;spage=157;epage=159;aulast=Nanivadekar
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