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The Labour government of the day, in their evidence, defended the use of homeopathy on the NHS on the basis of "patient choice" and the fact that because some doctors swore by it, the efficacy question was not settled.
On the global efficacy question, 81.3% of patients showed improvement compared with 18.7% with placebo.
Efficacy was assessed by using the self-administered International Index of Erectile Function (IIEF), a 15-question validated measure of ED, and a global efficacy question (Did the treatment improve your erection?).
At a news conference at the U.S. Department of Education, one of the researchers said: "The so-called efficacy question, whether you can affect development in the preschool years, is [answered] resoundingly in the affirmative.
On the basis of a positive answer to this "efficacy" question, one proceeds directly to widespread adoption.
Realistic evaluation offers a comprehensive approach to assessment of interventions in complex situations that can go beyond the simple efficacy question.
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Open safety and efficacy questions are subject to post-marketing commitments.
Although many treatment efficacy questions can best be answered by single focus studies, we recommend that such designs be adopted only after less restrictive designs are first considered.
The SEAS data can also be used to argue that a key ingredient in Vytorin is not effective at preventing heart attacks (see sidebar: "Efficacy Questions Still Dog Vytorin").
Needed research was never funded and carried out to the extent needed, and the process for approving dispersants is neither rigorous nor effectively answers the toxicity and efficacy questions.
Participants answered significantly more efficacy questions correctly than safety questions (95.9 % efficacy; 81.0 % safety; p < 0.01).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com