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and still much room
for improvement
On p 1181 Thornley and Adams survey controlled trials on the
care of patients with schizophrenia from the past 50 years. Generally, trials were small and short, reported poorly, and used outcomes (640 different scales) that were difficult or impossible to apply to
everyday practice
and there was little change over time. The authors suggest that there is much scope for well planned, conducted, and reported trials. In addition, drug regulatory authorities should
stipulate that the results of both explanatory and pragmatic trials are
necessary before a compound is licensed for use in clinical practice.
What can you learn from this BMJ paper? Read Leanne Tite's Paper+