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Briffa T, Symons T, Zeps N, Straiton N, Tarnow-Mordi WO, Simes J, Harris IA, Cruz M, Webb SA, Litton E, Nichol A, Williams CM. Normalising comparative effectiveness trials as clinical practice. Trials 2021; 22:620. [PMID: 34526083 PMCID: PMC8442385 DOI: 10.1186/s13063-021-05566-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 08/24/2021] [Indexed: 11/17/2022] Open
Abstract
There is a lack of high-quality evidence underpinning many contemporary clinical practice guidelines embedded in the healthcare systems, leading to treatment uncertainty and practice variation in most medical disciplines. Comparative effectiveness trials (CETs) represent a diverse range of research that focuses on optimising health outcomes by comparing currently approved interventions to generate high-quality evidence to inform decision makers. Yet, despite their ability to produce real-world evidence that addresses the key priorities of patients and health systems, many implementation challenges exist within the healthcare environment. This manuscript aims to highlight common barriers to conducting CETs and describes potential solutions to normalise their conduct as part of a learning healthcare system.
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Affiliation(s)
- Tom Briffa
- University of Western Australia, Perth, Western Australia, Australia
| | - Tanya Symons
- University of Sydney, Sydney, New South Wales, Australia
| | | | - Nicola Straiton
- University of Sydney, Sydney, New South Wales, Australia. .,Australian Clinical Trials Alliance, Suite 1, Level 2, 24 Albert Road, Melbourne, VIC, 3205, Australia.
| | | | - John Simes
- University of Sydney, Sydney, New South Wales, Australia
| | - Ian A Harris
- Ingham Institute, Liverpool, New South Wales, Australia
| | - Melinda Cruz
- University of Sydney, Sydney, New South Wales, Australia.,University of New South Wales, Sydney, New South Wales, Australia
| | | | - Edward Litton
- Fiona Stanley Hospital, Murdoch, Western Australia, Australia
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