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真实世界研究:弥合试验评估疗效与常规护理之间的差距。

Real-world studies: bridging the gap between trial-assessed efficacy and routine care.

作者信息

Chen Daohong

机构信息

Research Institute, Changshan Biochemical Pharmaceutical, Shijiazhuang, Hebei 050800, China.

出版信息

J Biomed Res. 2022 May 10;36(3):147-154. doi: 10.7555/JBR.36.20220040.

Abstract

Even though randomized controlled clinical trials (RCTs) have been accepted as the gold standard for official assessment of novel interventions, there is a substantial gap between the efficacy observed in RCTs and the impact on clinical practice and in terms of patient benefit. While real-world studies (RWS) are emerging to confer valuable complementing evidence in this regard and beyond, the evolving role of RWS is yet to be agreed. This article delineates an updated profile of RWS covering effectiveness verification, rare adverse effects discovery, indication repurposing, to name a few. RWS tends not only to improve the efficiency of clinical investigations for regulatory approval, but also optimizes the whole-life cycle evaluation of biomedical/pharmaceutical products.

摘要

尽管随机对照临床试验(RCT)已被公认为官方评估新型干预措施的金标准,但RCT中观察到的疗效与对临床实践的影响以及患者受益方面存在巨大差距。虽然真实世界研究(RWS)正在兴起,以在这方面及其他方面提供有价值的补充证据,但RWS不断演变的作用尚未达成共识。本文阐述了RWS的最新概况,包括有效性验证、罕见不良反应发现、适应症拓展等。RWS不仅倾向于提高监管审批临床研究的效率,还能优化生物医学/药品的全生命周期评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441c/9179114/b7bc3dbd39a6/jbr-36-3-147-1.jpg

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