Impediments to Clinical Research in the United States

被引:38
作者
Kramer, J. M. [1 ,2 ,3 ]
Smith, P. B. [2 ,3 ,4 ]
Califf, R. M. [1 ,2 ,3 ]
机构
[1] Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA
[2] Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC 27710 USA
[3] Duke Univ, Med Ctr, Duke Translat Med Inst, Durham, NC 27710 USA
[4] Duke Univ, Med Ctr, Dept Pediat, Durham, NC 27710 USA
关键词
IMPACT; CHALLENGES; PRIVACY; CARE;
D O I
10.1038/clpt.2011.341
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Clinical trials are essential to the evaluation of promising scientific discoveries, but they are becoming unsustainably burdensome, threatening to deprive patients and health-care providers of new therapies and new evidence to guide the use of existing treatments. Regulations are often blamed for impeding clinical research, but there are other elements of the clinical trials enterprise that also have the potential to add burdens, through either imposed requirements or incentives that do not favor clinical research (Figure 1).(1-3)
引用
收藏
页码:535 / 541
页数:7
相关论文
共 39 条
[1]  
[Anonymous], FORW LOOK INV DRIV C
[2]   The impact of privacy and confidentiality laws on the conduct of clinical trials [J].
Armitage, Jane ;
Souhami, Robert ;
Friedman, Lawrence ;
Hilbrich, Lutz ;
Holland, Jack ;
Muhlbaier, Lawrence H. ;
Shannon, Jane ;
Van Nie, Alison .
CLINICAL TRIALS, 2008, 5 (01) :70-74
[3]   Bridging the gap: improving clinical development and the regulatory pathways for health products for neglected diseases [J].
Bollyky, Thomas J. ;
Cockburn, Iain M. ;
Berndt, Ernst .
CLINICAL TRIALS, 2010, 7 (06) :719-734
[4]   Race, medical researcher distrust, perceived harm, and willingness to participate in cardiovascular prevention trials [J].
Braunstein, Joel B. ;
Sherber, Noelle S. ;
Schulman, Steven P. ;
Ding, Eric L. ;
Powe, Neil R. .
MEDICINE, 2008, 87 (01) :1-9
[5]   Cardiovascular events associated with rofecoxib in a colorectal adenoma chemoprevention trial [J].
Bresalier, RS ;
Sandler, RS ;
Quan, H ;
Bolognese, JA ;
Oxenius, B ;
Horgan, K ;
Lines, C ;
Riddell, R ;
Morton, D ;
Lanas, A ;
Konstam, MA ;
Baron, JA .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (11) :1092-1102
[6]   Health Insurance Portability and Accountability Act (HIPAA) - Must there be a trade-off between privacy and quality of health care, or can we advance both? [J].
Califf, RM ;
Muhlbaier, LH .
CIRCULATION, 2003, 108 (08) :915-918
[7]   EFFECT OF VASODILATOR THERAPY ON MORTALITY IN CHRONIC CONGESTIVE-HEART-FAILURE - RESULTS OF A VETERANS-ADMINISTRATION COOPERATIVE STUDY [J].
COHN, JN ;
ARCHIBALD, DG ;
ZIESCHE, S ;
FRANCIOSA, JA ;
HARSTON, WE ;
TRISTANI, FE ;
DUNKMAN, WB ;
JACOBS, W ;
FRANCIS, GS ;
FLOHR, KH ;
GOLDMAN, S ;
COBB, FR ;
SHAH, PM ;
SAUNDERS, R ;
FLETCHER, RD ;
LOEB, HS ;
HUGHES, VC ;
BAKER, B .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (24) :1547-1552
[8]   AVOIDANCE OF LARGE BIASES AND LARGE RANDOM ERRORS IN THE ASSESSMENT OF MODERATE TREATMENT EFFECTS - THE NEED FOR SYSTEMATIC OVERVIEWS [J].
COLLINS, R ;
GRAY, R ;
GODWIN, J ;
PETO, R .
STATISTICS IN MEDICINE, 1987, 6 (03) :245-254
[9]   Invisible barriers to clinical trials: The impact of structural, infrastructural, and procedural barriers to opening oncology clinical trials [J].
Dilts, David M. ;
Sandler, Alan B. .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (28) :4545-4552
[10]   Reforming the Regulations Governing Research with Human Subjects [J].
Emanuel, Ezekiel J. ;
Menikoff, Jerry .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (12) :1145-1150