In 2012, researchers from the German Institute for Quality and Efficiency in Health Care (IQWiG) presented a study in the BMJ analysing information sources used in 16 health technology assessment (HTA) reports of drugs (benefit assessments), which demonstrated that publicly-available sources, such as scientific journals and entries posted in trial registries (“registry reports”), contained far less information on methods and outcomes of clinical trials than non-public CSRs prepared by pharmaceutical companies.
In a second article published this week in PLOS Medicine, the IQWiG researchers now show that if, instead of only assessing selected outcomes as in the first study, all patient-relevant outcomes of the clinical trials are assessed, the information deficit in the publicly available sources is even greater.
Huge difference in the information provided
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