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© 2005 Oxford University Press
NEWS |
Approaches Vary for Clinical Trials in Developing Countries
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In a hospital in Morocco, cancer patients must wait 2 or 3 days for a bed to open up. In a Guatemalan health center, two harried clinicians juggle all of the more than 400 new cases of leukemia each year. In some places in India, 60%70% of cancer patients are turned away from hospitals because of a lack of medical resources.
"Clinical trials? Wouldn't [providing] soap be a better place to start?" Ronald Barr, M.D., of McMaster University in Canada, said of conducting clinical trials in developing countries, only half joking. He remembers handing out blocks of soap to doctors in Kenya, who gave the precious bars to parents as an incentive not to abandon their sick children in hospitals. "There are huge fundamental challenges that need to be addressed before you can think about doing trials," he added.
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Researchers at pharmaceutical companies and academic institutions and
Problems With Designing Trials
Creating Trials that Work