Evidence map›Paper›PMID 23180203›Full record

ArticleJournal of bioethical inquiry2012

Ethical issues in new drug prescribing.

Lindsay W Cole, Jennifer C Kesselheim, Aaron S Kesselheim

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of bioethical inquiry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lindsay W ColeHarvard Medical School, Boston, MA, USA.
Jennifer C Kesselheim
Aaron S Kesselheim

Funding

Off-label prescribing: Comparative evidence, regulation, and utilizationK08HS018465 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI KESSELHEIM, AARON SETH · 2009 to 2013
$797k
AHRQ HHS K08HS18465-01
6 · The paper itself

Abstract

We use the format of a hypothetical case study to review issues related to pharmaceutical product approval and physician prescribing practices. In this case, a new FDA-approved drug is recommended for a patient who subsequently experiences an adverse event that may or may not be related to the prescription. This case raises a number of ethical and legal considerations physicians routinely face when deciding whether to recommend such drugs for their patients. Despite the need for ongoing observation by the regulatory apparatus, physicians should be cognizant of the limitations of the drug approval system and the post-approval prescription drug surveillance system. We discuss physicians' ethical obligations when faced with a newly approved drug, including seeking out independent sources of learning, reporting adverse effects, and notifying patients about limitations in available knowledge about therapeutic recommendations.

Indexed as

Conflict of InterestDisclosureDrug ApprovalDrug IndustryEthics, MedicalHumansInformed ConsentInterprofessional RelationsOff-Label UsePhysicians, Primary CarePractice Patterns, Physicians'Prescription DrugsUnited StatesUnited States Food and Drug AdministrationPrescription Drugs

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.