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Table 4 Examples of claims based on potentially biased evidence

From: Accuracy of drug advertisements in medical journals under new law regulating the marketing of pharmaceutical products in Switzerland

Type

Drug

Claim

Reference

Reasons for potential bias

Abstract

Pantozol® (Pantoprazol)

Similar healing of reflux disease as omeprazol 20 mg

Bardnan KD et al. Gastroenterology 116(Suppl.4II): A 118, 1999

Abstract, open study, no blinded outcome assessment

Selection Bias

Neurodol® (Lidocaine)

Neurodol tissugel reduces pain and allodynia in postherpetic neuralgia

Meier T et al., Pain 106: 151–158, 2003

Selection bias (only patients who had already successfully been treated with lidocaine for more than 1 month were included in study), very few patients

Publication bias

Lamictal® (Lamotrigine)

Well tolerated

Bowden CL et al. Drug Safety 2004; 57: 173–184

Narrative review, possible publication and selective reporting of evidence bias

At least 3 quality criteria missing

Zoloft® (Sertraline)

Increases cognitive capacity

Newhouse PA et al. J Clin Psych 2000;61:559–68

High drop out rate(>30%), no descriptions of losses to follow-up, selective reporting of positive outcomes

Post hoc analysis

Jarsin® (St. John's word)

Similar efficacy as synthetic antidepressants

Brenner R et al. Clinical Therapeutics 22: 411–419, 2000

Post-hoc analysis, only 15 patients in each group, no sample size calculation