Industry effects on evidence: a case study of long-acting injectable antipsychotics.

IF 2.8 1区 哲学 Q1 MEDICAL ETHICS
Lisa Cosgrove, Barbara Mintzes, Harold J Bursztajn, Gianna D'Ambrozio, Allen F Shaughnessy
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引用次数: 0

Abstract

A vigorously debated issue in the psychiatric literature is whether long-acting injectable antipsychotics (LAIs) show clinical benefit over antipsychotics taken orally. In addressing this question, it is critical that systematic reviews incorporate risk of bias assessments of trial data in a robust way and are free of undue industry influence. In this paper, we present a case analysis in which we identify some of the design problems in a recent systematic review on LAIs vs oral formulations. This case illustrates how evidence syntheses that are shaped by commercial interests may undermine patient-centered models of recovery and care. We offer recommendations that address both the bioethical and research design issues that arise in the systematic review process when researchers have financial conflicts of interest.

工业对证据的影响:长效注射抗精神病药物的案例研究。
精神病学文献中一个激烈争论的问题是长效注射抗精神病药物(LAIs)是否比口服抗精神病药物更有临床疗效。在解决这一问题时,至关重要的是,系统评价应以稳健的方式纳入试验数据的偏倚风险评估,并且不受不当的行业影响。在本文中,我们提出了一个案例分析,其中我们在最近对LAIs与口服制剂的系统回顾中确定了一些设计问题。这个案例说明了由商业利益塑造的证据综合如何破坏以病人为中心的康复和护理模式。当研究人员有经济利益冲突时,我们提供解决系统评价过程中出现的生物伦理和研究设计问题的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.90
自引率
14.70%
发文量
49
审稿时长
>12 weeks
期刊介绍: Accountability in Research: Policies and Quality Assurance is devoted to the examination and critical analysis of systems for maximizing integrity in the conduct of research. It provides an interdisciplinary, international forum for the development of ethics, procedures, standards policies, and concepts to encourage the ethical conduct of research and to enhance the validity of research results. The journal welcomes views on advancing the integrity of research in the fields of general and multidisciplinary sciences, medicine, law, economics, statistics, management studies, public policy, politics, sociology, history, psychology, philosophy, ethics, and information science. All submitted manuscripts are subject to initial appraisal by the Editor, and if found suitable for further consideration, to peer review by independent, anonymous expert referees.
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