Personalized evidence based medicine: predictive approaches to heterogeneous treatment effects

DM Kent, E Steyerberg, D Van Klaveren - Bmj, 2018 - bmj.com
The use of evidence from clinical trials to support decisions for individual patients is a form of
“reference class forecasting”: implicit predictions for an individual are made on the basis of …

Immune response following traumatic spinal cord injury: Pathophysiology and therapies

RC Sterner, RM Sterner - Frontiers in immunology, 2023 - frontiersin.org
Traumatic spinal cord injury (SCI) is a devastating condition that is often associated with
significant loss of function and/or permanent disability. The pathophysiology of SCI is …

[HTML][HTML] Development of the Instrument to assess the Credibility of Effect Modification Analyses (ICEMAN) in randomized controlled trials and meta-analyses

S Schandelmaier, M Briel, R Varadhan, CH Schmid… - Cmaj, 2020 - Can Med Assoc
BACKGROUND: Most randomized controlled trials (RCTs) and meta-analyses of RCTs
examine effect modification (also called a subgroup effect or interaction), in which the effect …

[PDF][PDF] The magic of randomization versus the myth of real-world evidence

R Collins, L Bowman… - … England Journal of …, 2020 - neurosciences.cochrane.org
Nonrandomized observational analyses of large electronic patient databases are being
promoted as an alternative to randomized clinical trials as a source of “real-world evidence” …

Effects of sacubitril-valsartan versus valsartan in women compared with men with heart failure and preserved ejection fraction: insights from PARAGON-HF

JJV McMurray, AM Jackson, CSP Lam, MM Redfield… - Circulation, 2020 - Am Heart Assoc
Background: Unlike heart failure with reduced ejection fraction, there is no approved
treatment for heart failure with preserved ejection fraction, the predominant phenotype in …

Probiotics for the prevention of Clostridium difficile‐associated diarrhea in adults and children

JZ Goldenberg, C Yap, L Lytvyn… - Cochrane Database …, 2017 - cochranelibrary.com
Background Antibiotics can disturb gastrointestinal microbiota which may lead to reduced
resistance to pathogens such as Clostridium difficile (C. difficile). Probiotics are live …

Why clinical trial outcomes fail to translate into benefits for patients

C Heneghan, B Goldacre, KR Mahtani - Trials, 2017 - Springer
Clinical research should ultimately improve patient care. For this to be possible, trials must
evaluate outcomes that genuinely reflect real-world settings and concerns. However, many …

Corticosteroids in sepsis: an updated systematic review and meta-analysis

B Rochwerg, SJ Oczkowski, RAC Siemieniuk… - Critical care …, 2018 - journals.lww.com
Objective: This systematic review and meta-analysis addresses the efficacy and safety of
corticosteroids in critically ill patients with sepsis. Data Sources: We updated a …

Endovascular thrombus removal for acute iliofemoral deep vein thrombosis: analysis from a stratified multicenter randomized trial

AJ Comerota, C Kearon, CS Gu, JA Julian… - Circulation, 2019 - Am Heart Assoc
Background: The ATTRACT trial (Acute Venous Thrombosis: Thrombus Removal with
Adjunctive Catheter-Directed Thrombolysis) previously reported that pharmacomechanical …

[HTML][HTML] Knee osteoarthritis phenotypes and their relevance for outcomes: a systematic review

LA Deveza, L Melo, TP Yamato, K Mills, V Ravi… - Osteoarthritis and …, 2017 - Elsevier
Objective To systematically review the literature for studies investigating knee osteoarthritis
(OA) phenotypes to examine what OA characteristics are relevant for phenotyping. Methods …