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How to conduct clinical trials in an ethical and scientifically
responsible manner
This book presents a methodology for clinical trials that produces
improved health outcomes for patients while obtaining sound and
unambiguous scientific data. It centers around a real-world test
case--involving a treatment for hypertension after open heart
surgery--and explains how to use Bayesian methods to accommodate
both ethical and scientific imperatives.
The book grew out of the direct involvement in the project by a
diverse group of experts in medicine, statistics, philosophy, and
the law. Not only do they contribute essays on the scientific,
technological, legal, and ethical aspects of clinical trials, but
they also critique and debate each other's opinions, creating an
interesting, personalized text.
Bayesian Methods and Ethics in a Clinical Trial Design
* Answers commonly raised questions about Bayesian methods
* Describes the advantages and disadvantages of this method
compared with other methods
* Applies current ethical theory to a particular class of design
for clinical trials
* Discusses issues of informed consent and how to serve a patient's
best interest while still obtaining uncontaminated scientific data
* Shows how to use Bayesian probabilistic methods to create
computer models from elicited prior opinions of medical experts on
the best treatment for a type of patient
* Contains several chapters on the process, results, and
computational aspects of the test case in question
* Explores American law and the legal ramifications of using human
subjects
For statisticians and biostatisticians, and for anyone involved
with medicine and public health, this book provides both a
practical guide and a unique perspective on the connection between
technological developments, human factors, and some of the larger
ethical issues of our times.
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