Net Efficacy Adjusted for Risk (NEAR): A Simple Procedure for Measuring Risk:Benefit Balance
2008

Net Efficacy Adjusted for Risk: A Simple Procedure for Measuring Risk:Benefit Balance

Sample size: 290 publication Evidence: moderate

Author Information

Author(s): Boada José N., Boada Carlos García-Sáiz, Mar García, Marcelino Fernández, Eduardo Gómez, Eugenio

Primary Institution: University Hospital of Canary Islands, University of La Laguna

Hypothesis

Can a simple model be designed to assess the risk:benefit balance of drugs in clinical practice?

Conclusion

The NEAR measure may improve understanding of drug clinical usefulness by balancing benefits and adverse reactions.

Supporting Evidence

  • NEAR may help in solving clinical problems arising in practical settings.
  • Most published clinical trials tend to overestimate benefits and underestimate toxicity.
  • The NEAR model was tested with results from several published clinical trials.

Takeaway

This study created a new way to see how well a drug works while also considering any bad side effects it might have.

Methodology

The study used a theoretical model to calculate the expected proportion of patients responding favorably to treatment without adverse drug reactions.

Limitations

The model relies on data that is often not reported in clinical trials, which may limit its applicability.

Digital Object Identifier (DOI)

10.1371/journal.pone.0003580

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