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替代指标在心血管疾病临床决策中的正确认识
引用本文:黄贤圣,赵水平,贺达仁,骆杨平.替代指标在心血管疾病临床决策中的正确认识[J].医学与哲学,2007,28(4):7-8.
作者姓名:黄贤圣  赵水平  贺达仁  骆杨平
作者单位:中南大学湘雅二医院心内科 湖南长沙410011(黄贤圣,赵水平,骆杨平),中南大学哲学系 湖南长沙410078(贺达仁)
摘    要:在心血管疾病临床试验中,替代指标常用于评价干预措施的疗效。但替代指标在心血管疾病临床试验中非常复杂,因此,心血管医生在解读和评价心血管疾病临床试验的结果时,应正确认识替代指标的内涵、应用背景及其局限性,同时,还应客观地评价相关替代指标的证据强度,以寻找最好的医学证据指导其临床决策和实践。

关 键 词:替代指标  心血管疾病  决策  认识
文章编号:1002-0772(2007)04-0007-02
修稿时间:2006-11-20

The Correct Cognition about Surrogate End - points During Clinical Decision Making for Cardio-vascular Diseases
HUANG Xian-sheng , ZHAO Shui-ping , HE Da-ren , et al,.The Correct Cognition about Surrogate End - points During Clinical Decision Making for Cardio-vascular Diseases[J].Medicine & Philosophy:Humanistic & Social Medicine Edition,2007,28(4):7-8.
Authors:HUANG Xian-sheng  ZHAO Shui-ping  HE Da-ren    
Institution:Department of cardiovascular disease, Second Xiangya Hospital, Central South University, Changsha 410011,China
Abstract:A surrogate end-point is usually utilized to evaluate the therapeutic effects of some intervention in cardiovascular clinical trials. When a cardiologist readouts and evaluates the results from cardiovascular clinical trials, it is necessary that he should has a correct cognition about the connotation,background and limitation of surrogate end-points. At the same time, he should objectively evaluate the evidential efficacy of surrogate end-points involved. Only in this way, it is possible for a cardiologist to find the best medical evidence for his clinical decision and practice.
Keywords:surrogate end-point  cardiovascular disease  decision making  cognition
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