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Healthy Skepticism Library item: 6878

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

Qizilbash N, Schneider L, Farlow M, Whitehead A, Higgins J.
Meta-analysis of tacrine for Alzheimer disease: the influence of industry sponsors
JAMA 1999; 281:2287-2288
http://jama.ama-assn.org/issues/v281n24/ffull/jlt0623-7.html


Abstract:

It is not surprising that trials without corporate sponsorship found no clinical effect since they all had small sample sizes. The most favourable trial was rejected because of deficiencies in design and analysis and this trial did not have corporate support. Unplanned subgroup analysis often leads to spurious results. The meta-analysis in question was carried out independently and was not funded by the manufacturer. If all individuals who have received financial support from industry sponsors are excluded from meta-analyses, then few individual-patient data meta-analyses of recently marketed drugs will be performed.

Keywords:
*letter to the editor/*analytic survey/Alzheimer disease/ corporate funding/ reporting of results/ drug company sponsored research/ relationship between researchers, academic institutions and industry/ clinical trials/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/INFLUENCE OF PROMOTION: OUTCOME OF CLINICAL TRIALS/INFLUENCE OF PROMOTION: PUBLICATION/SPONSORSHIP: RESEARCH

 

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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