Prospektive, kontrollierte Studien in der Chirurgie. Kontroverse Standpunkte zur Motivierung und Durchführung [Prospective controlled clinical trials in surgery. Controversial issues in motivation and performance (author's transl)]

URN zum Zitieren dieses Dokuments:

urn:nbn:de:bvb:355-epub-218688 Copy

DOI zum Zitieren dieses Dokuments:

10.5283/epub.21868 Copy

Lorenz, Wilfried ; Rohde, H.

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Veröffentlichungsdatum dieses Volltextes: 23 Aug 2011 06:28

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Alternative Links zum Volltext:Pubmed

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Details

Dokumentenart:	Artikel
Titel eines Journals oder einer Zeitschrift:	Klinische Wochenschrift
Verlag:	Springer
Band:	57
Nummer des Zeitschriftenheftes oder des Kapitels:	7
Seitenbereich:	S. 301-310
Datum:	1979
Institutionen:	Medizin > Zentren des Universitätsklinikums Regensburg > Tumorzentrum e.V.
Identifikationsnummer:	Wert Typ 374855 PubMed-ID
Klassifikation:	Notation Art Ethics, Medical MESH Evaluation Studies as Topic MESH Germany, West MESH Humans MESH Motivation MESH Patient Care Planning MESH Prospective Studies MESH Sampling Studies MESH Surgical Procedures, Operative/standards MESH
Dewey-Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
Status:	Veröffentlicht
Begutachtet:	Ja, diese Version wurde begutachtet
An der Universität Regensburg entstanden:	Unbekannt / Keine Angabe
Dokumenten-ID:	21868

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Zusammenfassung

Controversial aspects in prospective controlled trials in surgery can be detected at various stages in the course of this research work, such as in motivation, planning and performance as well as in assessment and evaluation of the results. Especially the introduction of control groups, randomization and "blindness" of patients, operators and doctors running the follow-up are subjects of a ...

Zusammenfassung

Controversial aspects in prospective controlled trials in surgery can be detected at various stages in the course of this research work, such as in motivation, planning and performance as well as in assessment and evaluation of the results. Especially the introduction of control groups, randomization and "blindness" of patients, operators and doctors running the follow-up are subjects of a controversial discussion. Subthreshold arguments for defenders and eniers of the trial are taken from different theories of science, such as empirism and rationalism which are more effective in the daily routine work than expected. Provided that convincingly only therapeutic and diagnostic procedures are compared which were considered as equi-effective and reliable to the same extent according to the best and most complete knowledge available it is ethically justified to perform controlled randomized trials. It should, however, not be expected that they (always) produce differences between treatment of high degree of difference. The aim of the controlled trials is not the introduction of sensational novelties into medicine, but the abolition and prevention of unnecessary and unworthy modes.

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