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Where's the Evidence?Debates in Modern Medicine$
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William A. Silverman

Print publication date: 1999

Print ISBN-13: 9780192630889

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780192630889.001.0001

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The gatekeeper’s brouhaha

The gatekeeper’s brouhaha

(p.121) 29 The gatekeeper’s brouhaha
Where's the Evidence?

William A. Silverman

Oxford University Press

This chapter presents a 1994 commentary on the machinations that go on in the conduct and reporting of clinical trials. A clinical trial is used to illustrate that temptations to circumvent the rules of evidence are particularly great when huge sums of money in drug sales depend on trial outcomes. It also suggests that peer review of the quality evidence is weaker than we are willing to admit.

Keywords:   clinical trials, medical practice, medical research, peer review

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