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Healthy Skepticism Library item: 9139

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

Gerrard L.
Clinical trials workload in a teaching (university) hospital
ASHP Midyear Clinical Meeting 1996 Dec; 31:


Abstract:

The clinical trial work load at St. George’s Hospital was reviewed. Data were abstracted from pharmacy clinical trial records and ethic committee submissions. There were 78 active trials, responsible for an average of 142 prescriptions monthly. The most common source of support was the pharmaceutical industry (85%). Fifty three (68%) Of studies were double blind. Sixty two (79%) were placebo controlled and 29 (37%) compared the study drug with at least one other agent. Half the studies were generated by Medicine, Surgery, 25%, and Cardiothoracic, 14%. Thirty nine studies commenced in the first 5 months of the year; 28 were completed with a further 28 awaiting ethics approval and/or initiation date. Clinical trials represent a significant workload for a teaching hospital pharmacy in terms of both dispensing and setting up.

 

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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