Relation between the Global Burden of Disease and Randomized Clinical Trials Conducted in Latin America Published in the Five Leading Medical Journals 英文参考文献.docVIP
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Relation between the Global Burden of Disease and Randomized Clinical Trials Conducted in Latin America Published in the Five Leading Medical Journals 英文参考文献
RelationbetweentheGlobalBurdenofDiseaseand
RandomizedClinicalTrialsConductedinLatinAmerica
PublishedintheFiveLeadingMedicalJournals
PabloPerel1,J.JaimeMiranda1,2*,ZulmaOrtiz3,JuanPabloCasas1
1Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom, 2School of Public Health and
Administration,UniversidadPeruanaCayetanoHeredia,Lima,Peru,3EpidemiologicalResearchInstitute,NationalAcademyofMedicine,BuenosAires,Argentina
Abstract
Background:Since1990noncommunicablediseasesandinjuriesaccountforthemajorityofdeathanddisability-adjusted
lifeyearsinLatinAmerica.WeanalyzedtherelationshipbetweentheglobalburdenofdiseaseandRandomizedClinical
Trials(RCTs)conductedinLatinAmericathatwerepublishedinthefiveleadingmedicaljournals.
Methodology/PrincipalFindings:WeincludedallRCTsinhumans,exclusivelyconductedinLatinAmericancountries,and
published in any of the following journals: Annals of Internal Medicine, British Medical Journal, Journal of the American
MedicalAssociation,Lancet,andNewEnglandJournalofMedicine.WedescribedthetrialsandreportedthenumberofRCTs
accordingtothemaincategoriesoftheglobalburdenofdisease.Sixty-sixRCTswereidentified.Communicablediseases
accounted for 38 (57%) reports. Maternal, perinatal, and nutritional conditions accounted for 19 (29%) trials. Non-
communicablediseasesrepresent48%oftheglobalburdenofdiseasebutonly14%ofreportedtrials.Notrialaddressed
injuriesdespiteits18%contributiontotheburdenofdiseasein2000.
Conclusions/Significance: A poor correlation between the burden of disease and RCTs publications was found. Non
communicablediseasesandinjuriesaccountforuptotwothirdsoftheburdenofdiseaseinLatinAmericabutthesetopics
areseldomaddressedinpublishedRCTsintheselectedsampleofjournals.Fundingbodiesofhealthresearchandeditors
shouldbeawareoftheincreasingburdenofnoncommunicablediseasesandinjuriesoccurringinLatinAmericatoensure
thatthisgrowingepidemicisnotneglectedintheresearchagendaandnotaffectedbypublica
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