Category Archives: Medicine

Statistical Design: Clinical Development of Drugs and Biologics

A few years ago, my colleague Steven E. Linberg was teaching a course, “Clinical Development of Drugs and Biologics,” at Johns Hopkins University. He asked me to give a guest lecture on statistical design. The class was once per week, … Continue reading

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Healthcare Systems Process Reengineering, I: Vision

In two previous posts, I’ve discussed a vision of longitudinal healthcare responsible for people, rather than illness — and for the role that computers and medical informatics could play in making such systems possible. Those two posts discussed the ideas … Continue reading

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Using ASIA Motor Score as outcome in spinal injury

In October ’06, the people at ICORD (International Collaboration On Repair Discoveries) in Vancouver asked me to give a talk. I spoke on Statistical Considerations in Designing a Trial in Spinal Cord Injury with ASIA Motor Score as the Outcome, … Continue reading

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Reduced Bladder and Bowel Control after Severe Spinal Cord Injury — Even in Patients Able to Walk

Regaining unlimited mobility, including the ability to walk, is a main goal for spinal-cord-injured (SCI) patients. Still, more limited accomplishments — such as bladder and bowel control — would significantly improve quality of life for those lacking them. Conferences and … Continue reading

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Healthcare Systems Process Reengineering for Developing Countries

Two colleagues — Sandra Mejía Mendoza, from Nicaragua, and Alvaro Gaynicotche, from Uruguay — worked with me on this paper, Healthcare Systems Process Reengineering for Developing Countries: A Report to IMIA Working Group 9, that I presented at MEDINFO 98 … Continue reading

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More on clinical trial design for beginners

My earlier post Clinical trial design — for beginners has been one of my more popular ones. People who’ve read that and would like to know more, can download

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Health and Healthcare for Latin America and the Caribbean

During November 12-15, 1996, I was a delegate to an Expert Consultation Meeting, “Telecommunications in Health and Healthcare for Latin America and the Caribbean ,” held in Washington, DC by PAHO (the Pan American Health Organization), a part of WHO … Continue reading

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Medicine: Using probabilty to treat people versus using it to treat groups

I saw an interesting post complaining about the “magic” of clinical trials and the refusal by many people to consider other types of evidence rationally. One commenter there replies, “Let me give you an example I like to use. George … Continue reading

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Clinical trial design — for beginners

This post is based on an e–mail series I sent to a friend in industry. He was responsible for overseeing the design of a clinical trial, and he asked me as a professional to tell him in simple words how … Continue reading

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