- Ian Roberts (Ian.Roberts@lshtm.ac.uk), professor of epidemiology and public healtha,
- Irene Kwan, research fellowa,
- Phillip Evans, consultant in accident and emergencyb,
- Steven Haig, senior house officerb
- a Cochrane Injuries Group, Public Health Intervention Research Unit, London School of Hygiene and Tropical Medicine, London WC1B 3DP
- b Accident and Emergency Department, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW
- Correspondence to: I Roberts
- Accepted 14 August 2001
Animal models are often used to test the effectiveness of a drug or procedure before proceeding to clinical trials. One reason for use of animal models is that they allow researchers to focus on particular pathological processes without the confounding effects of other injuries and treatments. However, it is essential that their results are valid and precise. Biased or imprecise results from animal experiments may result in clinical trials of biologically inert or even harmful substances, thus exposing patients to unnecessary risk and wasting scarce research resources. Moreover, if animal experiments fail to inform medical research then the animals suffer unnecessarily.
The Italian pathologist Pietro Croce criticised vivisection on scientific grounds. He argued that results from animal experiments cannot be applied to humans because of the biological differences between animals and humans and because the results of animal experiments are too dependent on the type of animal model used.1 Croce's arguments were based on insights into zoology and pathophysiology. In this paper, we make some methodological observations on animal experiments. Our observations were made in the context of a systematic review of all available randomised controlled trials of fluid resuscitation in animal models of uncontrolled bleeding. We conducted this review because we wanted to assess the scientific basis for fluid resuscitation. A previous systematic review of randomised trials of fluid resuscitation in bleeding trauma patients had provided no evidence that fluid resuscitation improved outcome.2
Summary points
New drugs and procedures are usually tested in animals before conducting clinical trials
Validity of animal experiments is essential for human health care and fundamental to animal welfare
A systematic review of animal experiments on fluid resuscitation found that most studies were underpowered and provided little information on possible bias
Systematic reviews of animal experiments allow a more objective appraisal of the evidence and …
Sign in
Personal subscribers, sign in here:
Article access
Article access for 1 day
Purchase this article for £20 $30 €32*
The PDF version can be downloaded as your personal record
CiteULike
Connotea
Del.icio.us
Digg
Facebook
Reddit
Technorati
Twitter
Stumbleupon
Rapid responses
Latest Responses
Re: A prescription for improving antibiotic prescribing in primary care
Published 15 February 2012
Re: Migrant healthcare: public health versus politics
Published 15 February 2012
Re: Dosing of oral penicillins in children: is big child=half an adult, small child=half a big child, baby=half a small child still the best we can do?
Published 15 February 2012
Re: Scientists are to investigate “three parent IVF” for preventing mitochondrial diseases
Published 15 February 2012
Re: A commitment to protect health and save lives
Published 15 February 2012
Most responses
Does anyone understand the government’s plan for the NHS? (17 responses)
Published 17 Jan 2012
Bad medicine: medical nutrition (15 responses)
Published 18 Jan 2012
Shared decision making: really putting patients at the centre of healthcare (8 responses)
Published 27 Jan 2012
Why legislation is necessary for my health reforms (8 responses)
Published 1 Feb 2012
How much of a social media profile can doctors have? (7 responses)
Published 23 Jan 2012