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Approaches to Answering Critical CER Questions

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Comparative Effectiveness in Surgical Oncology

Part of the book series: Cancer Treatment and Research ((CTAR,volume 164))

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Abstract

While randomized controlled trials (RCTs) are the gold standard for research, many research questions cannot be ethically and practically answered using an RCT. Comparative effectiveness research (CER) techniques are often better suited than RCTs to address the effects of an intervention under routine care conditions, an outcome otherwise known as effectiveness. CER research techniques covered in this section include: effectiveness-oriented experimental studies such as pragmatic trials and cluster randomized trials, treatment response heterogeneity, observational and database studies including adjustment techniques such as sensitivity analysis and propensity score analysis, systematic reviews and meta-analysis, decision analysis, and cost effectiveness analysis. Each section describes the technique and covers the strengths and weaknesses of the approach.

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References

  1. Pear R (2009) US to compare medical treatments. The New York Times, 16 Feb 2009

    Google Scholar 

  2. GovTrack HR (2009) Patient protection and affordable care act. In: 3590–111th congress. Accessed 25 Feb 2014. http://www.govtrack.us/congress/bills/111/hr3590

  3. Johnston S, Rootenberg J, Katrak S, Smith W, Elkins J (2006) Effect of a US national institutes of health programme of clinical trials on public health and costs. Lancet 367(9519):1319–1327

    Article  PubMed  Google Scholar 

  4. National Advisory Heart Council (1967) Organization, review and administration of cooperative studies (Greenberg Report)

    Google Scholar 

  5. Hunsberger S, Albert PS, London WB (2009) A finite mixture survival model to characterize risk groups of neuroblastoma. Stat Med 28(8):1301–1314

    Article  PubMed  Google Scholar 

  6. Overview of the Nationwide Inpatient Sample (NIS) (2014) http://www.hcup-us.ahrq.gov/nisoverview.jsp. Accessed 25 Feb 2014

  7. Welcome to ACS NSQIP (2014) http://site.acsnsqip.org/. Accessed 25 Feb 2014

  8. National Cancer Data Base (2014) http://www.facs.org/cancer/ncdb/. Accessed 25 Feb 2014

  9. Data and Software for Researchers (2014) Surveillance, epidemiology, and end results program http://seer.cancer.gov/resources/. Accessed 25 Feb 2014

  10. Taubman SL, Allen HL, Wright BJ, Baicker K, Finkelstein AN (2014) Medicaid increases emergency-department use: evidence from Oregon’s Health Insurance Experiment. Science (New York, NY) 343(6168):263–268

    Google Scholar 

  11. Tan HJ, Norton EC, Ye Z, Hafez KS, Gore JL, Miller DC (2012) Long-term survival following partial versus radical nephrectomy among older patients with early-stage kidney cancer. JAMA J Am Med Assoc 307(15):1629–1635

    Article  CAS  Google Scholar 

  12. Guyatt GH, Akl EA, Crowther M, Gutterman DD, Schuünemann HJ (2012) Executive summary: antithrombotic therapy and prevention of thrombosis, 9th ed: american college of chest physicians evidence-based clinical practice guidelines. CHEST J 141(2_suppl):7S–47S

    Google Scholar 

  13. The Cochrane Collaboration (2014) http://us.cochrane.org/cochrane-collaboration. Accessed 25 Feb 2014

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Correspondence to Karl Y. Bilimoria .

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Kinnier, C.V., Chung, J.W., Bilimoria, K.Y. (2015). Approaches to Answering Critical CER Questions. In: Bilimoria, K., Minami, C., Mahvi, D. (eds) Comparative Effectiveness in Surgical Oncology. Cancer Treatment and Research, vol 164. Springer, Cham. https://doi.org/10.1007/978-3-319-12553-4_1

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  • DOI: https://doi.org/10.1007/978-3-319-12553-4_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-12552-7

  • Online ISBN: 978-3-319-12553-4

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