Meta-analysis as Evidence: Building a Better Pyramid

Berlin and Golub talk about seeking out the best evidence that addresses prevention or treatment question. One dogma argues that it is the best-conducted randomized clinical trial (RCT) comprising patients similar to those seen by the clinician, reasoning that a well-done RCT mimics pure experimenta...

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Veröffentlicht in:JAMA : the journal of the American Medical Association 2014-08, Vol.312 (6), p.603-605
Hauptverfasser: Berlin, Jesse A, Golub, Robert M
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container_title JAMA : the journal of the American Medical Association
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creator Berlin, Jesse A
Golub, Robert M
description Berlin and Golub talk about seeking out the best evidence that addresses prevention or treatment question. One dogma argues that it is the best-conducted randomized clinical trial (RCT) comprising patients similar to those seen by the clinician, reasoning that a well-done RCT mimics pure experimental conditions better than any other study design, hence minimizing the likelihood of confounding. A counter-argument is that the best evidence is a systematic review with meta-analysis, because this approach can integrate all of the relevant evidence and provide a more reliable answer than a single study, however well conducted.
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subjects Evidence-based medicine
Humans
Medical treatment
Meta-analysis
Meta-Analysis as Topic
Physicians
Questions
Systematic review
Treatment Outcome
title Meta-analysis as Evidence: Building a Better Pyramid
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