Book contents
- Rethinking Clinical Research
- Rethinking Clinical Research
- Copyright page
- Contents
- Acknowledgments
- Introduction
- Part I Fundamentals
- Part II Rethinking Research
- Part III Case Studies
- 13 Case Study: Treating Gastroesophageal Reflux Disease with Omeprazole
- 14 Case Study: Statin Therapy for Primary Prevention of Heart Disease
- 15 Case Study: Cancer Screening
- 16 Case Study: Antidepressant Medications
- Conclusions and Recommendations
- Index
- References
13 - Case Study: Treating Gastroesophageal Reflux Disease with Omeprazole
from Part III - Case Studies
Published online by Cambridge University Press: aN Invalid Date NaN
- Rethinking Clinical Research
- Rethinking Clinical Research
- Copyright page
- Contents
- Acknowledgments
- Introduction
- Part I Fundamentals
- Part II Rethinking Research
- Part III Case Studies
- 13 Case Study: Treating Gastroesophageal Reflux Disease with Omeprazole
- 14 Case Study: Statin Therapy for Primary Prevention of Heart Disease
- 15 Case Study: Cancer Screening
- 16 Case Study: Antidepressant Medications
- Conclusions and Recommendations
- Index
- References
Summary
Gastroesophageal reflux disease is a common condition that can be controlled with proton pump inhibitors such as omeprazole. We examine randomized controlled trials (RCTs) of omeprazole and find stronger evidence of efficacy among RCTs with industry support than without. The participants in these trials were unlike most people who take proton pump inhibitors, raising questions about the external validity of RCTs. Furthermore, use of these medicines is associated with short- and longer-term adverse effects. Healthy behavior change, such as weight loss, holds promise as an alternative to proton pump inhibitors.
Keywords
- Type
- Chapter
- Information
- Rethinking Clinical ResearchMethodology and Ethics, pp. 253 - 272Publisher: Cambridge University PressPrint publication year: 2025