Appropriate use of information in therapeutic decision-making: reflections on indirect comparisons.

Abstract:

:Although the statistical strength of direct comparative randomized controlled trials is generally acknowledged, the particular demands of therapeutic decision making will often require indirect comparisons to be made, based on pooled data from multiple trials. As for all post-hoc analyses, the process of indirect comparison runs the risk of introducing significant bias into the results and consequently a robust statistical approach is required, in order to minimise the risk. To address this problem, a range of different methodologies have been developed over the past twenty years, using both frequentist and Bayesian models. It is important to appreciate the strengths and limitations of these techniques: however, the technical complexities tend to make this type of analysis somewhat opaque to the non-specialist reader. In this article, we consider the use of a simple, non-specialist critical appraisal tool developed by ISPOR, which allows methodological and interpretive errors to be identified and flagged as potential sources of bias, even when the detailed statistical methodology is not well understood by the reader.

journal_name

Curr Med Res Opin

authors

Belsey JD

doi

10.1185/03007995.2014.1002559

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

343-6

issue

2

eissn

0300-7995

issn

1473-4877

journal_volume

31

pub_type

社论
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    abstract::A double-blind, crossover study was carried out in 31 patients with rheumatoid arthritis or osteoarthritis who suffered from insomnia which was considered to be caused primarily by their disease. Patients received 7-day courses of 400 mg chlormezanone, 200 mg chlormezanone and placebo in a pre-determined random order....

    journal_title:Current medical research and opinion

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    authors: Wojtulewski JA,Walter J

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  • Efficacy and safety of ultrasound-guided percutaneous polidocanol sclerotherapy in benign predominantly cystic thyroid nodules: a prospective study.

    abstract:OBJECTIVE:To evaluate the efficacy and safety of percutaneous polidocanol injection (PPI) in treatment of predominantly cystic thyroid nodules. MATERIALS AND METHODS:This prospective study included 111 patients with 122 benign predominantly cystic thyroid nodules inducing pressure symptoms or cosmetic problems. The no...

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    pub_type: 杂志文章,随机对照试验

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    authors: Gong X,Zhou Q,Chen S,Wang F,Wu W,Chen X

    更新日期:2017-08-01 00:00:00

  • Double-blind comparison of alclofenac and aspirin in the treatment of rheumatoid arthritis. Part II: high dosage regime for assessment of analgesic and anti-inflammatory activity.

    abstract::A double-blind trial was carried out in 76 patients with active rheumatoid arthritis to compare the analgesic and anti-inflammatory activity of 3 g. alclofenac with 4.8 g. aspirin daily over a 6-week period. All patients selected showed reversible inflammatory swelling of the finger joints. Of the 60 patients successf...

    journal_title:Current medical research and opinion

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    authors: Bedi SS

    更新日期:1975-01-01 00:00:00

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    abstract::In order to assess the effect of ACTH on the adrenal cortex when used as a therapeutic or diagnostic agent, adrenocortical function was tested before and 2 hours after 0.5 mg tetracosactrin given intramuscularly in 31 healthy children, divided into 4 groups according to age and sex. Mean plasma cortisol levels were sh...

    journal_title:Current medical research and opinion

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    doi:10.1185/03007997709115283

    authors: Tsvetkova V

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  • The economic value of anti-IgE in severe persistent, IgE-mediated (allergic) asthma patients: adaptation of INNOVATE to Sweden.

    abstract:BACKGROUND:Severe allergic asthma patients may not be controlled even with guideline recommended care, including inhaled corticosteroids, long-acting beta-2 agonists, theophylline, oral steroids and anti-leukotrienes. They experience exacerbations requiring intensive healthcare use and which may be fatal. Omalizumab, a...

    journal_title:Current medical research and opinion

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    doi:10.1185/030079906X132389

    authors: Dewilde S,Turk F,Tambour M,Sandström T

    更新日期:2006-09-01 00:00:00

  • Single oral dose of epicillin combined with probenecid in the treatment of gonorrhoea.

    abstract::Two hundred and sixty male patients with gonorrhoea, allocated to 4 unequal groups, were treated with one single oral dose of: (a) 2 g epicillin plus 1 g probenecid, (b) 2 g epicillin alone, (c) 1 g epicillin, 1 g cephradine plus 1 g probenecid, and (d) 1 g epicillin and 1 g cephradine. The last 3 groups acted as cont...

    journal_title:Current medical research and opinion

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1185/03007998009116507

    authors: Theodoridis A,Marcollou-Kindi O,Vagana A,Sivenas C,Capetanakis J

    更新日期:1980-01-01 00:00:00

  • Epicardial adipose tissue and atrial fibrillation: pathophysiological mechanisms, clinical implications, and potential therapies.

    abstract:BACKGROUND:Atrial fibrillation (AF) is the most common arrhythmia in clinical practice and is associated with increased cardiovascular morbidity and mortality. Epicardial adipose tissue (EAT) serves as a biologically active organ with important endocrine and inflammatory function. Review An accumulating body of evidenc...

    journal_title:Current medical research and opinion

    pub_type: 杂志文章,评审

    doi:10.1080/03007995.2018.1462786

    authors: Goudis CA,Vasileiadis IE,Liu T

    更新日期:2018-11-01 00:00:00

  • A comparative study of haloperidol and diazepam in the treatment of anxiety.

    abstract::In a single-blind study in general practice, 60 patients with anxiety neuroses were randomly allocated to receive either 0.5 mg haloperidol twice daily or 2 mg diazepam 3-times daily for 6 weeks. Eighteen patients (6 on haloperidol and 12 on diazepam) were excluded from the analysis of efficacy. On the Hamilton Rating...

    journal_title:Current medical research and opinion

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1185/03007997909109010

    authors: Budden MG

    更新日期:1979-01-01 00:00:00

  • A comparative trial of ketoprofen and ibuprofen in patients with rheumatic disease.

    abstract::A comparative controlled study was carried out in 40 patients suffering from rheumatoid arthritis, osteoarthrosis or ankylosing spondylitis to assess the efficacy of ketoprofen and ibuprofen. Patients were allocated at random to receive either 100 mg ketoprofen twice daily or 400 mg ibuprofen 3-times daily over a peri...

    journal_title:Current medical research and opinion

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1185/03007997809111919

    authors: Saxena RP,Saxena U

    更新日期:1978-01-01 00:00:00

  • Clinical evaluation of fenticonazole cream in cutaneous fungal infections: a comparison with miconazole cream.

    abstract::A randomized, double-blind, parallel-group, multi-centre clinical trial was undertaken in 60 patients with dermatophytosis or pityriasis versicolor to compare topical 2% fenticonazole cream with topical 2% miconazole cream. Treatment, by twice-daily application, was for 4 weeks or until earlier complete resolution of ...

    journal_title:Current medical research and opinion

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1185/03007998609110427

    authors: Athow-Frost TA,Freeman K,Mann TA,Marks R,Vollum D,Warin AP

    更新日期:1986-01-01 00:00:00

  • Effects of long-term ergoloid mesylates ('Hydergine') administration in healthy pensioners: 5-year results.

    abstract::Five-year results are reported of a controlled long-term comparative study to assess the effects of ergoloid mesylates (1.5 mg 3-times daily) and placebo on medical, psychological and electrophysiological variables. Initially, 148 healthy elderly volunteers of both sexes were included. Eighty-nine subjects (48 on ergo...

    journal_title:Current medical research and opinion

    pub_type: 临床试验,杂志文章

    doi:10.1185/03007998609110447

    authors: Huber F,Köberle S,Prestele H,Spiegel R

    更新日期:1986-01-01 00:00:00

  • Chronic pain management--can we do better? An interview-based survey in primary care.

    abstract:BACKGROUND:Persisting pain is demoralising and debilitating for patients and their carers. Most patients with chronic pain do not need the services of a specialised pain clinic and are appropriately managed by their general practitioner (GP). METHOD:Interviewers approached 569 GPs to assess their satisfaction with the...

    journal_title:Current medical research and opinion

    pub_type: 杂志文章

    doi:10.1185/030079903125002478

    authors: Stannard C,Johnson M

    更新日期:2003-01-01 00:00:00

  • Risk factors associated with treatment discontinuation and down-titration in type 2 diabetes patients treated with sulfonylureas.

    abstract:OBJECTIVES:Sulfonylurea therapy among patients with type 2 diabetes mellitus (T2DM) can be disrupted due to adverse events, including hypoglycemia. A retrospective study using the MarketScan claims database quantified the frequency of sulfonylurea discontinuation or down-titration and identified associated risk factors...

    journal_title:Current medical research and opinion

    pub_type: 杂志文章

    doi:10.1080/03007995.2016.1190325

    authors: Iglay K,Qiu Y,Steve Fan CP,Li Z,Tang J,Laires P

    更新日期:2016-09-01 00:00:00

  • Efficacy and tolerability of cefuroxime axetil in patients with upper respiratory tract infections.

    abstract::A study was carried out in general practice to assess the clinical effectiveness and tolerability of the oral cephalosporin, cefuroxime axetil, in the treatment of 369 patients presenting with acute infections of the upper respiratory tract. The main diagnoses were tonsillitis, pharyngitis, sinusitis and otitis media....

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    pub_type: 杂志文章

    doi:10.1185/03007998709108965

    authors: Griffiths GK,VandenBurg MJ,Wight LJ,Gudgeon AC,Kelsey M

    更新日期:1987-01-01 00:00:00

  • Observational, open-label study of type 1 and type 2 diabetes patients switching from human insulin to insulin analogue basal-bolus regimens: insights from the PREDICTIVE study.

    abstract:OBJECTIVE:Evaluation of the safety and efficacy of insulin detemir (IDet) in the observational and non-interventional PREDICTIVE study. METHODS:A total of 2923 patients with type 1 or 2 diabetes on basal-bolus regimens were followed for 6 months: Group (1) NPH + human insulin (HI) bolus switching to IDet + analogue bo...

    journal_title:Current medical research and opinion

    pub_type: 杂志文章

    doi:10.1185/03007990903262885

    authors: Hermansen K,Dornhorst A,Sreenan S

    更新日期:2009-11-01 00:00:00

  • Sodium ferric gluconate (SFG) in complex with sucrose for IV infusion: bioequivalence of a new generic product with the branded product in healthy volunteers.

    abstract:OBJECTIVE:Parenteral sodium ferric gluconate in complex (Ferrlecit [branded SFG]) is used to treat patients with iron deficiency anemia undergoing chronic hemodialysis and receiving supplemental epoetin. This comparative pharmacokinetic study (GeneraMedix, Inc., Study 17909) evaluates whether the recently approved gene...

    journal_title:Current medical research and opinion

    pub_type: 杂志文章,随机对照试验

    doi:10.1185/03007995.2011.597738

    authors: Baribeault D

    更新日期:2011-08-01 00:00:00

  • Efficacy of sublingual specific immunotherapy in patients with respiratory allergy to Alternaria alternata: a randomised, assessor-blinded, patient-reported outcome, controlled 3-year trial.

    abstract:BACKGROUND:Alternaria alternata (AA) sensitisation is a common cause of respiratory allergies such as rhinitis and asthma. So far there are no controlled double-blind trials evaluating the efficacy and safety of specific sublingual immunotherapy (SLIT) in AA allergies. OBJECTIVE:To evaluate the efficacy of SLIT treatm...

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    pub_type: 杂志文章,随机对照试验

    doi:10.1185/03007995.2010.532201

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  • Implications of stroke and bleeding risk scores and comorbidities on episode-based bundled payments for patients with nonvalvular atrial fibrillation.

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    pub_type: 杂志文章

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  • A cost-effectiveness analysis of calcipotriol plus betamethasone dipropionate aerosol foam versus gel for the topical treatment of plaque psoriasis.

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    doi:10.1080/03007995.2018.1428542

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    更新日期:2018-07-01 00:00:00

  • Efficacy and safety of celecoxib versus diclofenac and omeprazole in elderly arthritis patients: a subgroup analysis of the CONDOR trial.

    abstract:OBJECTIVE:To compare the safety and efficacy of celecoxib versus diclofenac slow release (SR) plus omeprazole in elderly arthritis patients. RESEARCH DESIGN AND METHODS:Patients aged≥65 years, with osteoarthritis and/or rheumatoid arthritis, at high gastrointestinal (GI) risk who participated in the CONDOR trial (Cele...

    journal_title:Current medical research and opinion

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1185/03007995.2012.717528

    authors: Kellner HL,Li C,Essex MN

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  • Allergic rhinitis and impairment issues in schoolchildren: a consensus report.

    abstract:BACKGROUND:Allergic rhinitis (AR) can have substantial negative impact on children. Most notably, it can impede learning during the school-age years. Other consequences include adverse behavioral and psychosocial effects, poor quality of life, and potential impact on serious comorbidities, such as asthma. CONSENSUS PA...

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    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1185/030079904x13266

    authors: Blaiss MS,Allergic Rhinitis in Schoolchildren Consensus Group.

    更新日期:2004-12-01 00:00:00

  • Internal mammary sentinel nodes in primary breast cancer.

    abstract::For over a century, there has been considerable interest in the management of regional lymph node metastasis in patients with primary breast cancer. Since the advent of sentinel lymph node biopsies, there has been renewed interest in the management of patients with metastasis to the internal mammary nodes. The appropr...

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    pub_type: 社论

    doi:10.1185/030079903125002207

    authors: Jatoi I

    更新日期:2003-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2016-10-01 00:00:00

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    journal_title:Current medical research and opinion

    pub_type: 杂志文章

    doi:10.1185/03007991003771874

    authors: Chang LL,Ma M,Allmen Hv,Henderson SC,Harper K,Hornbuckle K

    更新日期:2010-06-01 00:00:00

  • Changes in metabolic parameters and body weight in brexpiprazole-treated patients with acute schizophrenia: pooled analyses of phase 3 clinical studies.

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    pub_type: 杂志文章,meta分析

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    authors: Newcomer JW,Eriksson H,Zhang P,Weiller E,Weiss C

    更新日期:2018-12-01 00:00:00

  • The From The Heart study: a global survey of patient understanding of cholesterol management and cardiovascular risk, and physician-patient communication.

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    journal_title:Current medical research and opinion

    pub_type: 杂志文章

    doi:10.1185/030079908x280491

    authors: Hobbs FD,Erhardt LR,Rycroft C,Heart study investigators.

    更新日期:2008-05-01 00:00:00

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    abstract::Control of hypertension is hindered by the incidence of adverse events associated with therapy, which can result in low patient compliance. Specific angiotensin II receptor subtype AT1 blockers offer an alternative to the angiotensin converting enzyme inhibitors in the treatment of hypertension, as the incidence of si...

    journal_title:Current medical research and opinion

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Levine B

    更新日期:2001-01-01 00:00:00

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    journal_title:Current medical research and opinion

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1185/03007995.2010.511084

    authors: Gertz B,Kohler E,Kes P,Essaian A,Bias P,Buchner A,Elsässer R

    更新日期:2010-10-01 00:00:00

  • Controlled study on the anxiolytic activity of a newly-developed benzodiazepine, metaclazepam.

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    journal_title:Current medical research and opinion

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1185/03007998809111129

    authors: Marano P,Patti F,Nicoletti F

    更新日期:1988-01-01 00:00:00

  • Efficacy of ezetimibe in patients with statin-resistant and statin-intolerant familial hyperlipidaemias.

    abstract:OBJECTIVE:To investigate the efficacy of the cholesterol absorption inhibitor ezetimibe in patients with refractory familial hyperlipidaemia or intolerant to statin therapy. METHODS:This prospective study assessed the safety and efficacy of ezetimibe in 200 patients with refractory familial hyperlipidaemias not achiev...

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    pub_type: 临床试验,杂志文章

    doi:10.1185/030079905X28872

    authors: Wierzbicki AS,Doherty E,Lumb PJ,Chik G,Crook MA

    更新日期:2005-03-01 00:00:00