无效性判断在不恰当地限制临床研究范围方面的作用。
The role of futility judgments in improperly limiting the scope of clinical research.
作者信息
Harper W
机构信息
University of Alabama, USA.
出版信息
J Med Ethics. 1998 Oct;24(5):308-13. doi: 10.1136/jme.24.5.308.
In medical research, the gathering and presenting of data can be limited in accordance with the futility judgments of the researchers. In that case, research results falling below the threshold of what the researchers deem beneficial would not to be reported in detail. As a result, the reported information would tend to be useful only to those who share the valuational assumptions of the researchers. Should this practice become entrenched, it would reduce public confidence in the medical establishment, aggravate factionalism within the research community, and unduly influence treatment decisions. I suggest alternative frameworks for measuring survival outcomes.
在医学研究中，数据的收集和呈现可能会根据研究人员的无效性判断而受到限制。在这种情况下，低于研究人员认为有益阈值的研究结果将不会被详细报告。因此，所报告的信息可能仅对那些与研究人员有相同价值假设的人有用。如果这种做法变得根深蒂固，将会降低公众对医疗机构的信心，加剧研究界的派系之争，并对治疗决策产生不当影响。我建议采用其他框架来衡量生存结果。
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