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Spectacular treatment disasters in recent years have made it clear that informal "let's-try-it-and-see" methods of testing new proposals are more risky now than ever before, and have led many to call for a halt to experimentation in clinical medicine. In this easy-tp-read, philosophical guide to human experimentation, William Silverman pleads for wider use of randomized clinical trials, citing many examples that show how careful trials can overturn preconceived or ill-conceived notions of a therapy's effectiveness and lead to a clearer understanding of clinical anomalies. Because it gives careful guidance on setting up trials and avoiding conceptual pitfalls, this book will be of great interest to all epidemiologists and clinical statisticians, and to a wide varitey of clinicians, pharmacologists, and nurses. Since it requires no medical or statistical knowledge, it will also appeal to ethicists, lawyers, and the general public.
This book investigates the ethical and methodological necessity of replacing informal clinical practices with rigorous, randomized clinical trials to ensure patient safety and therapeutic efficacy. William A. Silverman, a medical professional, draws upon historical instances of medical failure to argue that the 'let's-try-it-and-see' approach is inherently dangerous. He presents a framework for understanding clinical anomalies through structured experimentation, emphasizing that systematic testing is the only reliable method to validate or disprove medical assumptions.
What You Will Find
Scope Limits
Experts and practitioners recognize this work as a foundational text for understanding the ethical evolution of clinical research. Readers frequently note the accessible nature of the prose, which successfully translates complex medical methodology for a non-specialist audience.
Page Count:
250
Publication Date:
1985-08-01
Publisher:
Oxford University Press
ISBN-10:
0192614991
ISBN-13:
9780192614995
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