Do Surgical Trials Meet the Scientific Standards for Clinical Trials?

dc.citation.firstpage722
dc.citation.issueNumber5
dc.citation.journalTitleJournal of the American College of Surgeons
dc.citation.lastpage730
dc.citation.volumeNumber215
dc.contributor.authorWenner, Danielle M.
dc.contributor.authorBrody, Baruch A.
dc.contributor.authorJarman, Anna F.
dc.contributor.authorKolman, Jacob M.
dc.contributor.authorWray, Nelda P.
dc.contributor.authorAshton, Carol M.
dc.date.accessioned2017-08-02T14:52:14Z
dc.date.available2017-08-02T14:52:14Z
dc.date.issued2012
dc.description.abstractUnlike medications, the dissemination of surgical procedures into practice is not regulated. Before marketing, pharmaceutical products are required to be shown safe and efficacious in comparative clinical trials that use bias-reducing strategies designed to reduce the distortion of estimates of treatment effect by predispositions toward the investigational intervention or control. Unless an investigational device is involved, the corresponding process for surgical innovations is usually unregulated and therefore may not be based on adequate evidence. Given these differences, we sought to evaluate the state of clinical research on invasive procedures. We conducted a systematic review of publications from 1999 through 2008, which reported the results of studies evaluating the effects of invasive therapeutic procedures, focusing on trials that appeared to influence practice. Our objective was to determine what proportion of studies evaluating surgical procedures use a comparative clinical trial design and methods to control bias. This article reports our results and raises concerns about the methodologic, and therefore the ethical, quality of clinical research used to justify the implementation of surgical procedures into practice.
dc.identifier.citationWenner, Danielle M., Brody, Baruch A., Jarman, Anna F., et al.. "Do Surgical Trials Meet the Scientific Standards for Clinical Trials?." <i>Journal of the American College of Surgeons,</i> 215, no. 5 (2012) Elsevier: 722-730. https://doi.org/10.1016/j.jamcollsurg.2012.06.018.
dc.identifier.digitalDo_Surgical_Trials_Meet_Scientific_Standards_Clinical_Trials
dc.identifier.doihttps://doi.org/10.1016/j.jamcollsurg.2012.06.018
dc.identifier.urihttps://hdl.handle.net/1911/96161
dc.language.isoeng
dc.publisherElsevier
dc.rightsThis is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by Elsevier.
dc.titleDo Surgical Trials Meet the Scientific Standards for Clinical Trials?
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpost-print
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