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关于吡格列酮能减少大血管事件的证据在多大程度上支持了研究人员的说法?

How well does the evidence on pioglitazone back up researchers' claims for a reduction in macrovascular events?

作者信息

Freemantle Nick

机构信息

University of Birmingham, Birmingham B15 2TT.

出版信息

BMJ. 2005 Oct 8;331(7520):836-8. doi: 10.1136/bmj.331.7520.836.

DOI:10.1136/bmj.331.7520.836
PMID:16210286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1246089/
Abstract

Recent claims that pioglitazone prevents macrovascular events are based on a secondary outcome measure. But ignoring the primary outcome is statistically unsound

摘要

最近有关吡格列酮可预防大血管事件的说法是基于次要结局指标。但忽视主要结局在统计学上是不合理的。

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BMJ. 2005 Oct 8;331(7520):836-8. doi: 10.1136/bmj.331.7520.836.
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Diabetologia. 2007 Aug;50(8):1576-86. doi: 10.1007/s00125-007-0711-3. Epub 2007 Jun 26.
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Risk of gastrointestinal effects with COX-2 inhibitors and NSAIDs: what does evidence from randomised trials show about celecoxib?
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本文引用的文献

1
Composite outcomes in randomized trials: greater precision but with greater uncertainty?随机试验中的复合结局:更高的精确性但伴随着更大的不确定性?
JAMA. 2003 May 21;289(19):2554-9. doi: 10.1001/jama.289.19.2554.
2
Interpreting the results of secondary end points and subgroup analyses in clinical trials: should we lock the crazy aunt in the attic?解读临床试验中次要终点和亚组分析的结果:我们应该把疯姨妈锁在阁楼里吗?
BMJ. 2001 Apr 21;322(7292):989-91. doi: 10.1136/bmj.322.7292.989.
3
Carvedilol and the Food and Drug Administration (FDA) approval process: the FDA paradigm and reflections on hypothesis testing.卡维地洛与美国食品药品监督管理局(FDA)审批流程:FDA范式及对假设检验的思考
Control Clin Trials. 1999 Feb;20(1):16-39. doi: 10.1016/s0197-2456(98)00054-3.