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Healthy Skepticism Library item: 15801

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Evans SJ.
Papers with industry ties: Classic confounding conflicts
BMJ. 2009 Jun 15; 338:
http://www.bmj.com/cgi/content/extract/338/jun15_1/b2397


Abstract:

The paper by Jagsi et al in Cancer examining conflicts of interest in published clinical cancer research and reported by Tanne may be an example of classic confounding.1 2The industry funded trials may differ from non-industry funded trials in a way-for example, the treatments used-that is associated with the outcome. The treatments they compare are actually more effective.

The authors themselves note this, though not very clearly. Industry funded trials may not distort results at all (which is not the impression left in the reader’s mind after reading the BMJ), but they address different questions.

They may choose to investigate areas of cancer where success is likely to be greater. The questions they address and the designs of the studies may be different. This is bias, but of a very different nature to the idea that they distort results. The evidence is they tend to interpret similar results with . .

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909