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Healthy Skepticism Library item: 8673

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

Garattini S, Bertele' V.
[False innovations in clinical research].
Recenti Prog Med 2006 Nov; 97:(11):611-7
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17252717&dopt=Abstract


Abstract:

Pharmaceutical innovation is actually poorer than it seems, largely because of “false” innovations. Various factors help create an image of novelty in the pharmaceutical area. These factors act throughout the research and development process and in the post-marketing stages affecting the selection of study hypotheses, the adoption of the appropriate study methodology, and the interpretation and publication of results. Each of these steps may be diverted from the priority objective of patients’ interest and shifted towards to the defence of the drugs companies’ commercial interests. Regulators, NHS, physicians and patients must be vigilant to recognise and get rid of false innovations which can prevent the use of more effective and safer drugs and waste resources useful for effective treatments in other areas. Rewarding this lack of innovation discourages research for excellence and reduces the competitiveness of the pharmaceutical industry.

Keywords:
Publication Types: English Abstract Review MeSH Terms: Biomedical Research/standards Biomedical Research/trends* Commerce Conflict of Interest* Drug Approval* Drug Industry/standards* European Union Humans Investments/ethics Italy Patient Care Physician's Role


Notes:

[Article in Italian]

 

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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