Impediments to Clinical Research in the United States
被引:38
作者:
Kramer, J. M.
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机构:
Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA
Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC 27710 USA
Duke Univ, Med Ctr, Duke Translat Med Inst, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA
Kramer, J. M.
[1
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]
Smith, P. B.
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机构:
Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC 27710 USA
Duke Univ, Med Ctr, Duke Translat Med Inst, Durham, NC 27710 USA
Duke Univ, Med Ctr, Dept Pediat, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA
Smith, P. B.
[2
,3
,4
]
Califf, R. M.
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机构:
Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA
Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC 27710 USA
Duke Univ, Med Ctr, Duke Translat Med Inst, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA
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
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)