Abstract
The discussion was led by Dr. Michael Weintraub who began by pointing out that data gathered from post-marketing surveillance has its limitations but should not be underestimated; doctors are neither fools nor geniuses. The risk of ignoring utilization data is the perpetuation of errors although there are some questions which can only be answered by ‘naturalistic’ studies. The data from PMS studies are ‘dirty’ because of inexact diagnoses, variable ancillary treatments, lack of concurrent controls and imprecise ‘end-points’. In spite of this, they can provide important information. An illustration of the worth of imprecise end-points is the study on Valproic acid (JAMA, 244:785–788) which evaluated the anti-epileptic effect of the drug not only by counting the number of seizures but also by using social and familial criteria. The details of this vividly illustrate the value of PMS data.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1981 Springer Science+Business Media New York
About this chapter
Cite this chapter
Wardell, W.M., Velo, G. (1981). Broader Use of Post-Marketing Surveillance — Discussion. In: Wardell, W.M., Velo, G. (eds) Drug Development, Regulatory Assessment, and Postmarketing Surveillance. NATO Advanced Study Institutes Series, vol 39. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4055-3_28
Download citation
DOI: https://doi.org/10.1007/978-1-4684-4055-3_28
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-4057-7
Online ISBN: 978-1-4684-4055-3
eBook Packages: Springer Book Archive