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The Placebo Effect: And Another One Bites the Dust
Arch Dermatol. 2001;137:1639-1640.
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Is the Placebo Powerless? An Analysis of Clinical Trials Comparing Placebo With No Treatment Hrobjartsson A, Gotzsche PC N Engl J Med. 2000;344:1594-1602
Placebo treatments have been reported to help patients with many diseases, but the quality of the evidence supporting this finding has not been rigorously evaluated. The objective of Hrobjartsson and Gotzsche's study was to conduct a meta-analysis of clinical trials in which patients were randomly assigned to either treatment with placebo or no treatment. A placebo could be pharmacological (eg, a tablet), physical (eg, a manipulation), or psychological (eg, a conversation). They systematically searched MEDLINE, EMBASE, PsychLIT, Biological Abstracts, and the Cochrane Controlled Trials Register for trials published before the end of 1998. They included only trials with concealed random assignment, masked outcome assessment, and dropout rates of less than 50%. For each trial with binary outcomes (eg, stroke or no stroke), they calculated the relative risk . . . [Full Text of this Article] Editor's Comment
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