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How to determine whether treatments are effective 

How to determine whether treatments are effective
Chapter:
How to determine whether treatments are effective
Author(s):

John Zajicek

, Jennifer Freeman

, and Bernadette Porter

DOI:
10.1093/med/9780198569831.003.0010
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date: 15 December 2019

Evidence-based medicine and clinical trials 68

How good is any clinical trial? 70

We are all rightly encouraged to practice evidence-based medicine. That is to say, treatment decisions should be based on a thorough evaluation of the risks and benefits of any treatment, preferably after due consideration of well designed and conducted clinical trials. Because MS is so unpredictable, and treatment options have historically been poor, there is a great tendency for individual patients or doctors to latch onto the latest treatment fad. Before long, such treatments may become used routinely, usually on the basis of anecdote and word of mouth. This is not a good way of basing treatment decisions, and it is important that everyone associated with treating a chronic disease such as MS is aware of the pitfalls in this area....

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