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thundara · 4771 days ago · link · · parent · post: Most things in medicine are not based on randomized, controlled trials with sound math
I was under the impression that clinical trials forced a level of randomized/controlled testing for all drugs. Does that only cover the base of the drugs no having any significant adverse effects on the users?
Not necessarily; but a positive outcome might be insignificant to the general public (many chemotherapies that "extend" life do so for days) and I believe they should help more than harm, but that's not true, as so many drugs have been placed in the public market just to be withdrawn later secondary to adverse effects. And, most trials are funded by drug companies and drugs are almost never compared with other drugs in the same class. These are just a few of the problems.
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Looked it up, since I was curious, and surprisingly, the US federal government doesn't actually oversee the clinical trials, though the FDA does audit them to make sure they are correctly following procedure. They at least are run by independent organizations from the pharmaceutical companies. Still, I'd expected the process to be a bit...better than that.
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