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[真实世界证据。]

[Real-world evidence.].

作者信息

De Fiore Luca, Addis Antonio

机构信息

Associazione Alessandro Liberati network italiano Cochrane.

Dipartimento di epidemiologia del servizio sanitario regionale del Lazio.

出版信息

Recenti Prog Med. 2017 Dec;108(12):497-499. doi: 10.1701/2829.28579.

Abstract

Real-world evidence is among the most frequently discussed issues at professional medical conferences and meetings. It refers to data and information derived from sources such as electronic health records, disease or product registries, and observational research. Looking for an accelerated approval of new pharmaceutical products and devices, real-world evidence is considered a useful tool to confirm data collected for regulatory purposes. Anyway, randomised controlled trials still remain the gold standard of clinical research, in order to minimize bias and to evaluate the effectiveness of a clinical intervention. A pragmatic approach and quasi-randomised trials to shorten length and costs of the studies can be considered. The problem lies with the quality of data rather than with the context in which evidence is gathered.

摘要

真实世界证据是专业医学会议上最常讨论的议题之一。它指的是源自电子健康记录、疾病或产品登记库以及观察性研究等来源的数据和信息。为寻求新药品和器械的加速批准,真实世界证据被视为确认出于监管目的收集的数据的有用工具。无论如何,随机对照试验仍然是临床研究的金标准,以便将偏差降至最低并评估临床干预的有效性。可以考虑采用务实方法和半随机试验来缩短研究时长和成本。问题在于数据质量而非收集证据的背景。

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