A dispute between some researchers and the Canadian Institutes of Health Research (CIHR – Canada’s largest health research granting agency) about how many large clinical trials should be funded by the CIHR has recently gone public. The scientists believe that more large clinical trials should be funded in Canada, and they should decide which ones. …
Rahel Yetbarek sits with her feet up, looking out onto the city and the large swath of treed land that surrounds the freeway below her. The nurse is taking in the view over her lunch break, from the 10th floor rooftop garden at Bridgepoint, a Toronto hospital. Nearby, a few patients do the same. The …
Genomics is moving at a lightning pace. Whole genome sequencing, a special type of genetic test, can produce much more information about a person’s genes than ever before. However, this rapid advance in technology has outpaced our ability to understand what to do with all of this additional information. As a result, patients and clinicians …
Research on human subjects is essential to the advancement of patient care. Every life-saving drug, surgical technique and medical procedure was tested at some point in its development on humans. While research on humans has yielded enormous benefits, it can also carry risks to research participants. It is therefore essential to ensure research is carried …
Ritika Goel’s recent commentary on Healthy Debate about the pharmaceutical industry’s influence on physicians got me thinking about other kinds of conflict of interest within the health care system, particularly related to health services researchers. There is a great need for researchers to be independent when conducting their work, and to be able to speak …
The British Whitehall studies helped establish the importance of the social determinants of health, while a Danish study of children provided strong evidence to disprove the damaging MMR-vaccine-causes-autism hypothesis. Those are just two of many international cohort studies—studies that follow large groups of people over many years. In Canada, starting such studies has never been …
Vigorous patient advocacy over the past 25 years has pushed funding for breast cancer research in Canada to the top of the charts, outstripping the amounts devoted to research into other cancers. It’s a remarkable success story for a type of cancer that, just forty years ago, was spoken of only in hushed tones. But …
The governments of Canada and the United States have patient-oriented research initiatives underway, which share the goals of supporting research that will improve health care systems and directly benefit patients. However, the mandate, structure and funding of these initiatives differ significantly, with the United States accomplishing a great deal in a relatively short period of …
When I present my research, a question I often get asked is “When will Canada support the pharmaceutical industry?” What do they mean? With sales of $41.3 billion in 2009 and net revenues of $1.3 billion, the industry would in all accounts appear healthy. Furthermore, employment in the pharmaceutical industry has increased by 12% in …
A recent article in a scientific journal has stimulated an interesting debate about the make up of advisory boards in health care, and what constitutes a conflict of interest. Dr. Barry Rubin is a vascular surgeon in Toronto and a member of an Expert Panel of the Canadian Institutes of Health Research (CIHR) that is …
There have been a number of recent reports of conflicts of interest in medical research. There are at least two types of conflicts of interest – financial conflicts, where researchers stand to gain financially from their work; and intellectual conflicts, where researchers stand to gain professionally. Ensuring that all conflicts of interest are declared and …
The recent controversy about a new treatment for multiple sclerosis (MS) has raised questions about the role of patients and politicians in determining health research priorities. In the past, the scientific community has generally determined what research is conducted. However the public is increasingly demanding that they be involved in setting research priorities – the …