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Journal of Investigative Dermatology
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Journal of Investigative Dermatology
Article . 2013
License: Elsevier Non-Commercial
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Journal of Investigative Dermatology
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License: Elsevier Non-Commercial
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Comparative Effectiveness Research

Authors: Nambudiri, Vinod E.; Qureshi, Abrar;

Comparative Effectiveness Research

Abstract

WhaT is cOmparaTiVe eFFecTiVeness research.... and WhY dO iT? Comparative effectiveness research (CER) aids clinicians faced with medical decision making by identifying the best strategies among a variety of available preventive, diagnostic, and treatment options. Differing from early-phase clinical trials—in which an intervention is compared with a placebo and assessed for efficacy—the goal of CER is to discriminate among clinical interventions on the basis of clinical effectiveness, cost-effectiveness, adverse effects, or other distinguishing factors. As part of the American Recovery and Reinvestment Act of 2009, the US government allocated $1.1 billion for the funding of CER with two primary aims: “(1) to conduct, support, or synthesize research that compares the clinical outcomes, effectiveness, and appropriateness of items, services, and procedures that are used to prevent, diagnose, or treat diseases, disorders, and other health conditions; and (2) encourage the development and use of clinical registries, clinical data networks, and other forms of electronic health data that can be used to generate or obtain outcomes data” (Department of Health and Human Services, http:// www.hhs.gov/recovery/programs/cer/index.html, accessed 15 September 2012). One motivation behind the funding of CER is stimulating the delivery of higher-quality health care in a more cost-effective manner. Through well-designed and executed studies, CER has the potential to greatly enhance the practice of evidence-based dermatology (Williams, 2011). Common methodological approaches to conducting CER include randomized controlled trials and systematic reviews. This article will review recent examples of CER study designs in the dermatology literature as well as statistical analyses used to interpret such designs.

Related Organizations
Keywords

Comparative Effectiveness Research, Humans, Education, Medical, Continuing, Cell Biology, Dermatology, Biochemistry, Molecular Biology, Skin Diseases, United States

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
6
Average
Top 10%
Average
hybrid