京都大学 大学院医学研究科 社会健康医学系専攻

健康増進・行動学分野 古川壽亮教授は、 Astrid Chevance, Philippe Ravaud (Université Paris Cité), Victoria Cornelius (Imperial College London), Evan Mayo-Wilson (Indiana University)とともに、精神科薬物療法のRCTをもっと臨床に役立つものにしてゆくための提言を Lancet Psychiatry誌(IF=26.5)に 発表しました。

一般 2022年05月12日

Chevance, A., P. Ravaud, V. Cornelius, E. Mayo-Wilson and T. A. Furukawa (2022). “Designing clinically useful psychopharmacological trials: challenges and ways forward.” The Lancet Psychiatry. (https://authors.elsevier.com/c/1f0p37tf1d1D4U)

Methods to enhance clinical usefulness of drug RCTs to support therapeutic decisions include: embedding pragmatic RCTs within clinical practice to improve generalisability to target populations; collecting evidence about drugs in overlooked populations; developing methods to facilitate the recruitment of patients with mental disorders and to reduce the number of patients who drop out, using specific methods; using core outcome sets to standardise the assessment of benefits and harms; and recording systematically serious objective outcomes, such as suicide or hospitalisation, to be evaluated in meta-analyses.