Differences between the real and the desired worlds in the results of clinical trials

Autor: Regina El Dib, Eliane Chaves Jorge, Amélia Kamegasawa, Solange Ramires Daher, Regina Stella Spagnuolo, Marise Pereira da Silva, Gabriel Pereira Braga, Enilze Volpato, Norma Sueli Pinheiro Módolo, Marluci Betini, Adriana do Valle, Ione Corrêa, Rodrigo Bazan, Ricardo Augusto MB Almeida, Silke Anna Theresa Weber, Silvana Molina, Hugo Yoo, Paulo Villas Boas, José Eduardo Corrente, Joseph Mathew, Anil Kapoor, Raíssa Pierri Carvalho, Roberto Bezerra Vital, Leandro Gobbo Braz, Paulo Nascimento Junior
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Clinics, Vol 70, Iss 9, Pp 618-622 (2015)
Druh dokumentu: article
ISSN: 1980-5322
DOI: 10.6061/clinics/2015(09)04
Popis: OBJECTIVE: We refer to the effectiveness (known as pragmatic or real world) and efficacy (known as explanatory or desired or ideal world) of interventions. However, these terms seem to be randomly chosen by investigators who design clinical trials and do not always reflect the true purpose of the study. A pragmatic-explanatory continuum indicator summary tool was thus developed with the aim of identifying the characteristics of clinical trials that distinguish between effectiveness and efficacy issues. We verified whether clinical trials used the criteria proposed by the indicator summary tool, and we categorized these clinical trials according to a new classification. METHOD: A systematic survey of randomized clinical trials was performed. We added a score ranging from 0 (more efficacious) to 10 (more effective) to each domain of the indicator summary tool and proposed the following classifications: high efficacy (
Databáze: Directory of Open Access Journals