LEADER 05570nam 2200745 a 450 001 9910778703803321 005 20230331015407.0 010 $a1-280-21225-X 010 $a9786610212255 010 $a0-309-54356-8 010 $a0-585-12524-4 035 $a(CKB)111004366659530 035 $a(EBL)3376920 035 $a(SSID)ssj0000204431 035 $a(PQKBManifestationID)11954473 035 $a(PQKBTitleCode)TC0000204431 035 $a(PQKBWorkID)10174978 035 $a(PQKB)10716050 035 $a(MiAaPQ)EBC3376920 035 $a(Au-PeEL)EBL3376920 035 $a(CaPaEBR)ebr10062761 035 $a(CaONFJC)MIL21225 035 $a(OCoLC)923266968 035 $a(EXLCZ)99111004366659530 100 $a19900501d1990 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aModern methods of clinical investigation$b[electronic resource] /$fAnnetine C. Gelijns, editor ; Committee on Technological Innovation in Medicine, Institute of Medicine 210 $aWashington, D.C. $cNational Academy Press$d1990 215 $a1 online resource (244 p.) 225 1 $aMedical innovation at the crossroads ;$vv. 1 300 $aProceedings of a workshop held on May 3-4, 1989, supported by the Howard Hughes Medical Institute and the National Center for Health Services Research of the Department of Health and Human Services (grant 5 RO9 HS055 26 02). 300 $aIncludes index. 311 $a0-309-04286-0 320 $aIncludes bibliographical references. 327 $a""Modern Methods of Clinical Investigation""; ""Copyright""; ""Acknowledgments""; ""Preface""; ""Contents""; ""List of Abbreviations""; ""1 Medical Technology Development: An Introduction to the Innovation-Evaluation Nexus ""; ""PUTTING CLINICAL EVALUATION IN CONTEXT""; ""ISSUES IN INNOVATION AND EVALUATION: THE CASE OF STABLE ANGINA PECTORIS""; ""Beta-Blockers""; ""Coronary Artery Bypass Grafting""; ""PTCA Catheter Equipment""; ""Evaluative Shortcomings in Technology Development""; ""IMPROVING THE INNOVATION-EVALUATION NEXUS""; ""The Selection of Endpoints in Evaluative Research"" 327 $a""The Selection of Methods for Clinical Investigation""""Policy Mechanisms for Improving Developmental Decision Making""; ""REFERENCES""; ""2 The Selection of Endpoints in Evaluative Research ""; ""SURROGATE VERSUS CLINICAL ENDPOINTS""; ""CLINICAL ENDPOINTS""; ""SURROGATE ENDPOINTS""; ""REFERENCES""; ""3 Advances in Health Status Measurement: The Potential to Improve Experimental and Non-Experimental Data Collection""; ""THE CONDUCT OF CLINICAL TRIALS""; ""MEASUREMENT OF QUALITY OF LIFE AND OF HEALTH STATUS""; ""INCLUSION OF QUALITY OF LIFE AND HEALTH STATUS MEASURES IN CLINICAL TRIALS"" 327 $a""FOUR PROBLEMS REGARDING THE MEASUREMENT OF HEALTH STATUS IN CLINICAL TRIALS""""REFERENCES""; ""4 What Is Outcomes Research? ""; ""WHICH RATE IS RIGHT?""; ""ENGAGING PATIENTS IN THE DECISION PROCESS""; ""EXTENDING ASSESSMENT TO ALL RELEVANT TREATMENT THEORIES""; ""THE EVALUATIVE CLINICAL SCIENCES AND THE FUTURE OF MEDICINE""; ""REFERENCES""; ""5 Strengths and Weaknesses of Health Insurance Data Systems for Assessing Outcomes""; ""STRENGTHS""; ""System-Wide, Population-Based Data""; ""Efficacy versus Effectiveness""; ""Large Numbers and Time Series""; ""Events Unaffected by Recall"" 327 $a""Unobtrusive Nature""""Multiple Comparisons""; ""Design Flexibility""; ""Potential for Multiple Projects""; ""Focus on Risks""; ""Clinical Decision Making""; ""WEAKNESSES""; ""Structural Limitations""; ""Bias Due to Reporting and Coding""; ""Bias Due to Differential Contact""; ""Benefits of Treatment""; ""CONTROVERSIAL AREAS""; ""Risk Adjustment""; ""Outcome Measures""; ""EXPANDING DATA BASES""; ""Record Linkage""; ""Primary Data Collection""; ""DISCUSSION""; ""REFERENCES""; ""6 Prescription-Event Monitoring: An Example of Total Population Post-Marketing Drug Surveillance "" 327 $a""""THE NUMBERS GAME""""""VOLUNTARY REPORTING SYSTEMS""; ""POST-MARKETING SURVEILLANCE""; ""PRESCRIPTION-EVENT MONITORING""; ""COMPARATIVE STUDIES OF NSAIDS""; ""POST-MARKETING SURVEILLANCE AND POST-MARKETING CLINICAL TRIALS""; ""CONCLUSION""; ""REFERENCES""; ""7 The Role of Decision Analysis in the Translation of Research Findings into Clinical Practice ""; ""DECISION ANALYSIS AT THE INTERFACE BETWEEN CLINICAL INVESTIGATION AND CLINICAL PRACTICE""; ""WHAT DECISION ANALYSIS IS""; ""THE LIMITATIONS OF DECISION ANALYSIS: WHAT IT IS NOT"" 327 $a""SETTING PRIORITIES AND PARAMETERS FOR CLINICAL INVESTIGATION"" 410 0$aMedical innovation at the crossroads ;$vv. 1. 606 $aMedical technology$xEvaluation$vCongresses 606 $aMedical innovations$xEvaluation$vCongresses 606 $aMedical care$xTechnological innovations$vCongresses 606 $aMeta-analysis$vCongresses 615 0$aMedical technology$xEvaluation 615 0$aMedical innovations$xEvaluation 615 0$aMedical care$xTechnological innovations 615 0$aMeta-analysis 676 $a610/.72 701 $aGelijns$b Annetine$01528675 712 02$aInstitute of Medicine (U.S.).$bCommittee on Technological Innovation in Medicine. 712 02$aHoward Hughes Medical Institute. 712 02$aNational Center for Health Services Research. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910778703803321 996 $aModern methods of clinical investigation$93845350 997 $aUNINA