Clinical research in neurology - From observation to experimentation

被引:10
作者
Marshall, FJ [1 ]
Kieburtz, K [1 ]
McDermott, M [1 ]
Kurlan, R [1 ]
Shoulson, I [1 ]
机构
[1] UNIV ROCHESTER, SCH MED & DENT, DEPT NEUROL, ROCHESTER, NY 14642 USA
关键词
D O I
10.1016/S0733-8619(05)70267-X
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Clinical research in neurology may be based on observation or intervention. Basic science and observational clinical studies often address questions of cause and pathogenesis, whereas interventional clinical experiments normally are required to establish the safety, tolerability, and efficacy of therapies. This article outlines various study paradigms and discusses the concepts of intervention, randomization, blinding, and control in the context of clinical trial design. Accurate interpretation of trial results is predicated on the care with which experimental therapeutic studies are designed and conducted.
引用
收藏
页码:451 / +
页数:1
相关论文
共 61 条
[1]   A PROPOSAL FOR STRUCTURED REPORTING OF RANDOMIZED CONTROLLED TRIALS [J].
ANDREW, E ;
ANIS, A ;
CHALMERS, T ;
CHO, M ;
CLARKE, M ;
FELSON, D ;
GOTZSCHE, P ;
GREENE, R ;
JADAD, A ;
JONAS, W ;
KLASSEN, T ;
KNIPSCHILD, P ;
LAUPACIS, A ;
MEINERT, CL ;
MOHER, D ;
NICHOL, G ;
OXMAN, A ;
PENMAN, MF ;
POCOCK, S ;
REISCH, J ;
SACKETT, D ;
SCHULZ, K ;
SNIDER, J ;
TUGWELL, P ;
TYSON, J ;
VARIN, F ;
WALOP, W ;
WALSH, S ;
WELLS, G .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (24) :1926-1931
[2]  
[Anonymous], 1872, MED SURG REP
[3]  
ARMITAGE P, 1994, STAT METHODS MED RES, P301
[4]  
ARMITAGE P, 1994, STAT METHODS MED RES, P226
[5]   MONITORING CLINICAL-TRIALS [J].
BARNETT, HJM ;
SACKETT, DL .
NEUROLOGY, 1993, 43 (12) :2437-2438
[6]   A CONTROLLED TRIAL OF RILUZOLE IN AMYOTROPHIC-LATERAL-SCLEROSIS [J].
BENSIMON, G ;
LACOMBLEZ, L ;
MEININGER, V ;
BOUCHE, P ;
DELWAIDE, C ;
COURATIER, P ;
BLIN, O ;
VIADER, F ;
PEYROSTPAUL, H ;
DAVID, J ;
MALOTEAUX, JM ;
HUGON, J ;
LATERRE, EC ;
RASCOL, A ;
CLANET, M ;
VALLAT, JM ;
DUMAS, A ;
SERRATRICE, G ;
LECHEVALLIER, B ;
PEUCH, AJ ;
NGUYEN, T ;
SHU, C ;
BASTIEN, P ;
PAPILLON, C ;
DURRLEMAN, S ;
LOUVEL, E ;
GUILLET, P ;
LEDOUX, L ;
ORVOENFRIJA, E ;
DIB, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 330 (09) :585-591
[7]   FELBAMATE - A DOUBLE-BLIND CONTROLLED TRIAL IN PATIENTS UNDERGOING PRESURGICAL EVALUATION OF PARTIAL SEIZURES [J].
BOURGEOIS, B ;
LEPPIK, IE ;
SACKELLARES, JC ;
LAXER, K ;
LESSER, R ;
MESSENHEIMER, JA ;
KRAMER, LD ;
KAMIN, M ;
ROSENBERG, A .
NEUROLOGY, 1993, 43 (04) :693-696
[8]   FACTORIAL-DESIGNS IN CLINICAL-TRIALS - THE EFFECTS OF NON-COMPLIANCE AND SUBADDITIVITY [J].
BRITTAIN, E ;
WITTES, J .
STATISTICS IN MEDICINE, 1989, 8 (02) :161-171
[9]   HYPOXANTHINE AND MCARDLE DISEASE - A CLUE TO METABOLIC STRESS IN THE WORKING FOREARM [J].
BROOKE, MH ;
PATTERSON, VH ;
KAISER, KK .
MUSCLE & NERVE, 1983, 6 (03) :204-206
[10]  
BULL J P, 1959, J Chronic Dis, V10, P218, DOI 10.1016/0021-9681(59)90004-9