Problems in evaluating new treatments for multiple sclerosis.

Abstract:

:There are multiple difficulties in evaluating new treatments for multiple sclerosis (MS). The clinical diagnosis is imprecise, and the correlation between lesion and clinical dysfunction is incomplete. The neurologic evaluation is complex and lacks full precision. The course of MS is complex and has limited predictability. There is no laboratory test that can be accepted now as compensating for the defects in diagnosis, lesion-symptom correlation, course, and neurologic evaluation. Because of these problems, which appear inherent in MS, there are limitations to the statistical methods that can be properly applied to trials of therapy. Most trials of definitive nature will require a random design. When improvement is seen in a trial of therapy, there may be difficulty in determining the mechanism.

journal_name

Neurology

journal_title

Neurology

authors

Brown JR

doi

10.1212/wnl.30.7_part_2.8

subject

Has Abstract

pub_date

1980-07-01 00:00:00

pages

8-11

issue

7 Pt 2

eissn

0028-3878

issn

1526-632X

journal_volume

30

pub_type

临床试验,杂志文章
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