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Volume 361:1230-1233 September 24, 2009 Number 13
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New, but Not Improved? Incorporating Comparative-Effectiveness Information into FDA Labeling
Randall S. Stafford, M.D., Ph.D., Todd H. Wagner, Ph.D., and Philip W. Lavori, Ph.D.

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New technologies, including prescription drugs and medical devices, are a major driver of increases in U.S. health care expenditures, which have grown by an estimated 71% since 2000.1 The U.S. market for drugs and devices is regulated by the Food and Drug Administration (FDA), which scrutinizes clinical trial data for evidence of safety and efficacy. Although the FDA has been criticized for missteps and inefficiencies in its approval process, these are not the causes of increasing health care expenditures. More relevant is FDA oversight of the labeling and promotion of medical products.

Despite the potential usefulness of labeling information for . . . [Full Text of this Article]


Source Information

From the Stanford Prevention Research Center, Stanford University, Palo Alto (R.S.S.); the Veterans Affairs Palo Alto Health Care System, Palo Alto (T.H.W.); and the Department of Health Research and Policy, Stanford University School of Medicine, Stanford (T.H.W., P.W.L.) — all in California.

This article (10.1056/NEJMp0906490) was published on August 12, 2009, at NEJM.org.




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