
Formulary®:
a peer-reviewed
drug management journal for managed care and hospital decision-makers
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Strite
SA, Stuart ME, Urban S. Process steps and suggestions for creating
drug monographs and drug class reviews in an evidence-based formulary
system. Formulary. April 2008;43:135–145.
Abstract
Given the high estimates of inappropriate healthcare decisions in
this country and the well-documented evidence of inappropriate variations
in healthcare, a well-functioning formulary system is of great importance.
Bias in research tends to inflate or falsely report benefit in clinical
trials of interventions by up to a relative 40% to 50%. Therefore,
to ensure the adoption of products with valid and clinically useful
outcomes, formulary systems should include in their processes the
key steps used in evidence-based medicine, including the evaluation
of therapeutic studies for bias and clinical usefulness to inform
formulary decisions. This article outlines requirements and suggestions
for obtaining studies with appropriate designs and acceptable methodology
and execution, and emphasizes why such studies should be the basis
for developing drug monographs and class reviews and informing decisions.
(Formulary. 2008;43:135–145.)
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Correction:
Table 4. Item 2: If composite endpoints were used, were they reasonable?
And if composite efficacy endpoints were used, were reasonable composite
safety endpoints also used?
Downloadable
version including above correction [PDF]
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