Author's reply

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7049.114c (Published 13 July 1996) Cite this as: BMJ 1996;313:114
  1. Paramjit S Gill
  1. Senior lecturer Department of Primary Care and Population Sciences, Whittington Hospital, London N19 5NF

    EDITOR,—Joanna Chikwe and Richard Meakin and colleagues share the concerns that my colleagues and I have about the quality of randomised controlled trials. I would draw their attention to two further points. Firstly, few randomised controlled trials have been carried out in general practice. Secondly, owing to difficulties with methodological rigour and interpreting the clinical findings for a primary care context, the results of randomised controlled trials may be of questionable validity.1 Systematic reviews and meta-analyses may offer ways to address …

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