Iain K. Crombie - Evidence in Medicine

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High-quality evidence is the foundation for effective treatment in medicine. As the vast amount of published medical evidence continues to grow, concerns about the quality of many studies are increasing. 
 is a much-needed resource that addresses the ‘medical misinformation mess’ by assessing the flaws in the research environment. This authoritative text identifies and summarises the many factors that have produced the current problems in medical research, including bias in randomised controlled trials, questionable research practices, falsified data, manipulated findings, and more. 
This volume brings together the findings from meta-research studies and systematic reviews to explore the quality of clinical trials and other medical research, explaining the character and consequences of poor-quality medical evidence using clear language and a wealth of supporting references. The text suggests planning strategies to transform the research process and provides an extensive list of the actions that could be taken by researchers, regulators, and other key stakeholders to address defects in medical evidence. This timely volume: 
Enables readers to select reliable studies and recognise misleading research Highlights the main types of biased and wasted studies Discusses how incentives in the research environment influence the quality of evidence Identifies the problems researchers need to guard against in their work Describes the scale of poor-quality research and explores why the problems are widespread Includes a summary of key findings on poor-quality research and a listing of proposed initiatives to improve research evidence Contains extensive citations to references, reviews, commentaries, and landmark studies 
 is required reading for all researchers who create evidence, funders and publishers of medical research, students who conduct their own research studies, and healthcare practitioners wanting to deliver high-quality, evidence-based care.

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Table of Contents

1 Cover

2 Title Page Evidence in Medicine The Common Flaws, Why They Occur and How to Prevent Them Iain K Crombie University of Dundee Dundee, Scotland, UK

3 Copyright Page

4 Preface

5 Aims of this Book REFERENCES

6 CHAPTER 1: The Rationale for Treatment THEORY AS JUSTIFICATION FOR TREATMENT TESTING ON A SERIES OF PATIENTS COMPARING GROUPS COMPARING SIMILAR GROUPS CASTING LOTS AND TREATMENT ALLOCATION RANDOM NUMBERS FOR TREATMENT ALLOCATION THE NEED FOR BLINDING CONCLUSION REFERENCES

7 CHAPTER 2: Sources of Bias in Randomised Controlled Trials METHOD OF TREATMENT ALLOCATION PROBLEMS IN MEASURING THE OUTCOME FOLLOW‐UP AND MISSING OUTCOMES MISSING OUTCOME DATA AND INTENTION TO TREAT OTHER METHODOLOGICAL CONCERNS CONCLUSIONS REFERENCES

8 CHAPTER 3: Wasted and Unhelpful Trials WASTED STUDIES NEGLECTED AREAS OF RESEARCH UNHELPFUL OUTCOME MEASURES LACK OF GENERALISABILITY WEAK AND MISLEADING EVIDENCE CONCLUSION REFERENCES

9 CHAPTER 4: Can the Analysis Bias the Findings? THE P‐VALUE PROBLEM QUESTIONABLE RESEARCH PRACTICES ENSURING HIGH QUALITY ANALYSIS: THE STATISTICAL ANALYSIS PLAN CONCLUSIONS REFERENCES

10 CHAPTER 5: Systematic Reviews and Meta‐AnalysisINTRODUCTION IDENTIFYING RELEVANT TRIALS EXTRACTING TRIAL DATA THE QUALITY OF PRIMARY TRIALS POOLING EFFECT SIZES ACROSS TRIALS OTHER METHODOLOGICAL ISSUES CONCLUSIONS REFERENCES

11 CHAPTER 6: Fabrication, Falsification and Spin FABRICATION FALSIFICATION QUESTIONABLE RESEARCH PRACTICES SPIN Drawing Misleading Conclusions RETRACTIONS DISCUSSION REFERENCES

12 CHAPTER 7: Why Do Researchers Falsify Data or Manipulate Study Findings? THE RESEARCH ENVIRONMENT RESEARCH OVERSIGHT CONFLICT OF INTEREST INDIVIDUAL LEVEL EXPLANATIONS FOR RESEARCH MISCONDUCT HOW HONEST PEOPLE RATIONALISE MISCONDUCT DISCUSSION REFERENCES

13 CHAPTER 8: Developing a Strategy to Prevent Poor Quality and Misleading Research RESEARCH ENVIRONMENT RESEARCH TRANSPARENCY RESEARCH OVERSIGHT RESEARCH INTEGRITY ESSENTIAL ELEMENTS OF A TRANSFORMATIONAL STRATEGY IMPLEMENTING A PROGRAMME FOR ACTION REFERENCES

14 Appendix 1: Summary of the Key Findings on Poor Quality Research PROBLEMS IN THE DESIGN, CONDUCT, ANALYSIS AND REPORTING OF STUDIES Statistical Analysis FREQUENCY OF DATA FABRICATION AND FALSIFICATION THE CAUSES OF POOR QUALITY AND MISLEADINGRESEARCH THE FINDINGS IN PERSPECTIVE REFERENCES

15 Appendix 2: Initiatives to Improve the Quality of Research CHANGE THE RESEARCH ENVIRONMENT INCREASE RESEARCH TRANSPARENCY QUALITY OF TRIAL METHODOLOGY TRIAL REGISTRATION REPORTING OF THE METHODS OF SYSTEMATIC REVIEWS INCREASING ACCESS TO AND USE OF REPORTING GUIDELINES IMPLEMENT VIGOROUS RESEARCH OVERSIGHT PROMOTE RESEARCH INTEGRITY EXAMPLES OF COORDINATED INITIATIVES REFERENCES

16 Index

17 End User License Agreement

List of Tables

1 Chapter 6TABLE 6.1 Frequency of questionable research practices.

Guide

1 Cover Page

2 Title Page Evidence in Medicine The Common Flaws, Why They Occur and How to Prevent Them Iain K Crombie University of Dundee Dundee, Scotland, UK

3 Copyright Page

4 Preface

5 Aims of this Book

6 Table of Contents

7 Begin Reading

8 Appendix 1: Summary of the Key Findings on Poor Quality Research

9 Appendix 2: Initiatives to Improve the Quality of Research

10 Index

11 Wiley End User License Agreement

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Evidence in Medicine

The Common Flaws, Why They Occur and How to Prevent Them

Iain K Crombie

University of Dundee

Dundee, Scotland, UK

This edition first published 2021 2021 John Wiley Sons Ltd All rights - фото 1

This edition first published 2021

© 2021 John Wiley & Sons Ltd

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Iain K Crombie to be identified as the author of this work has been asserted in accordance with law.

Registered Office(s) John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

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