Title |
Reassessing the Evidence Hierarchy in Asthma: Evaluating Comparative Effectiveness
|
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Published in |
Current Allergy and Asthma Reports, September 2011
|
DOI | 10.1007/s11882-011-0222-7 |
Pubmed ID | |
Authors |
David Price, Alison Chisholm, Thys van der Molen, Nicolas Roche, Elizabeth V. Hillyer, Jean Bousquet |
Abstract |
Classical randomized controlled trials are the gold standard in medical evidence because of their high internal validity. However, their necessarily strict design can limit their external validity and the ability to extrapolate these data to real world patients. Therefore, alternatively designed studies may play a complementary role in evaluating the comparative effectiveness of therapies in nonidealized patients in more naturalistic, real world settings. Observational studies have high external validity and can evaluate real world outcomes. Their strength lies in hypothesis generation and testing and in identifying areas in which further clinical trials may be required. Pragmatic trials are designed to maximize applicability of trial results to usual care settings by relying on clinically important outcomes and enrolling a wide range of participants. A combination of these approaches is preferable and necessary. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 2% |
Tunisia | 1 | 2% |
Unknown | 50 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 11 | 21% |
Researcher | 9 | 17% |
Student > Master | 8 | 15% |
Professor > Associate Professor | 3 | 6% |
Professor | 3 | 6% |
Other | 7 | 13% |
Unknown | 11 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 40% |
Pharmacology, Toxicology and Pharmaceutical Science | 7 | 13% |
Nursing and Health Professions | 4 | 8% |
Economics, Econometrics and Finance | 3 | 6% |
Agricultural and Biological Sciences | 1 | 2% |
Other | 4 | 8% |
Unknown | 12 | 23% |