Fair tests of treatments

Despite acting with the best of intentions, health professionals have sometimes done more harm than good to the patients who have looked to them for help. Some of this suffering can be reduced by ensuring that fair tests are done to address uncertainties about the effects of treatments.


JLL Essay
What are fair tests?

Why do we need fair tests?

 

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The willow as a Hottentot (Khoikhoi) remedy for rheumatic fever. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Williams KJ (2005).
British Pharmaceutical Industry, Synthetic Drug Manufacture and the Clinical Testing of Novel Drugs, 1895-1939. Philosophy Thesis, University of Manchester. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Nasser M, Tibi A (2006).
Ibn Hindu and the science of medicine. JLL Bulletin: Commentaries on the history of treatment evaluation.

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McPherson K, Bunker JP (2006).
Costs, risks and benefits of surgery: a milestone in the development of health services research. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Petrosino A (2006).
Charles Frederick [Fred] Mosteller (1916-2006). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tansey EM (2006).
Philip Montagu D’Arcy Hart (1900-2006). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Neuhauser D, Diaz M (2006).
Jesse GM Bullowa (1879-1943). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Crofton J† (2006).
John Crofton (1912-2009). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Louis-Courvoisier M (2007).
An 18th century controlled trial prompted by a potential shortage of hospital beds. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Sinclair L (2007).
Recognising, treating and understanding pernicious anaemia. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Morabia A (2007).
Claude Bernard, statistics, and comparative trials. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tröhler U (2007).
An early 18th century proposal for improving medicine by tabulating and analysing practice. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Kerr CE, Milne I, Kaptchuk TJ (2007).
William Cullen and a missing mind-body link in the early history of placebos. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Nasser M, Tibi A, Savage-Smith E (2007).
Ibn Sina’s Canon of Medicine: 11th century rules for assessing the effects of drugs. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Grimes DA (2007).
Discovering the need for randomized controlled trials in obstetrics: a personal odyssey. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Neuhauser D, Diaz M (2007).
Russell LaFayette Cecil (1881-1965). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Nunn JF (2008).
A treatment that has stood the test of time for over three and a half millennia. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Jick H (2008).
Learning how to control biases in studies to identify adverse effects of drugs: a brief personal history. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Bracken MB (2008).
Why animal studies are often poor predictors of human reactions to exposure. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Stylianou C, Kelnar C (2008).
The introduction of successful treatment of diabetes mellitus with insulin. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Agnew RAL (2008).
John Forbes FRS (1787-1861). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Erill S (2008).
Louis Lasagna (1923-2003). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Adams CE (2009).
James Crichton Browne and controlled evaluation of drug treatment for mental illness. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Moore W (2009).
John Hunter: learning from natural experiments, ‘placebos’, and the state of mind of a patient in the 18th century. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Dean ME (2009).
Comparative evaluation of homeopathy and allopathy within the Parisian hospital system, 1849-51. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Williams KJ (2009).
The introduction of ‘chemotherapy’ using arsphenamine – the first magic bullet. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Burch D (2009).
Astley Paston Cooper (1768–1841), anatomist, radical, and surgeon. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Morabia A (2010).
Edward Jenner’s 1798 report of challenge experiments demonstrating the protective effects of cowpox against smallpox. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tröhler U (2010).
Towards endocrinology: Theodor Kocher’s 1883 account of the unexpected effects of total ablation of the thyroid. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Stoll S (2010).
Paul Franz Xavier Martini (1889-1964). JLL Bulletin: Commentaries on the history of treatment evaluation.

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Gluud C (2010).
Danish contributions to the evaluation of serum therapy for diphtheria in the 1890s. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Bryder L (2010).
The Medical Research Council and clinical trial methodologies before the 1940s: the failure to develop a ‘scientific’ approach. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Slater SD (2010).
The discovery of thyroid replacement therapy. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Opinel A, Gachelin G (2010).
French 19th century contributions to the development of treatments for diphtheria. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tröhler U (2010).
Johann Friedrich de Quervain (1868-1940). Swiss surgical innovator. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Spain P, Kadan-Lottick N (2010).
Observations of unprecedented remissions following novel treatment for acute leukemia in children in 1948. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Cook H (2010).
Testing the effects of Jesuit’s bark in the Chinese Emperor’s court. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Doyle D (2011).
Thomas MacLagan’s 1876 demonstration of the dramatic effects of salicin in rheumatic fever. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Maehle A-H (2011).
Four early clinical studies to assess the effects of Peruvian bark. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Solis C (2011).
Bartolomé Hidalgo de Agüero’s 16th century, evidence-based challenge to the orthodox management of wounds. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Vandenbroucke JP (2012).
Adolphe Vorderman’s 1897 study on beriberi: an example of scrupulous efforts to avoid bias. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Milne I (2012).
Who was James Lind, and what exactly did he achieve? JLL Bulletin: Commentaries on the history of treatment evaluation.

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Sidebottom E (2012).
Roger Bacon and the beginnings of experimental science in Britain. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Sugiyama Y, Seita A (2013).
Kanehiro Takaki and the control of beriberi in the Japanese Navy. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Gachelin G (2013).
The interaction of scientific evidence and politics in debates about preventing malaria in 1925. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tröhler U (2013).
William Cheselden’s 1740 presentation of data on age-specific mortality after lithotomy. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Bryder L (2014).
The Medical Research Council and treatments for tuberculosis before streptomycin. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Bird SM (2014).
The 1959 meeting in Vienna on controlled clinical trials – a methodological landmark. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tröhler U (2014).
Statistics and the British controversy about the effects of Joseph Lister’s system of antisepsis for surgery, 1867-1890. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Toth B (2015).
Why the MRC Therapeutic Trials Committee didn’t introduce controlled clinical trials. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Burton MJ (2015).
Astley Cooper’s dramatically effective treatment of deafness. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Donaldson IML (2016).
Petrarch’s letter to Boccaccio ‘on the proud and presumptuous behaviour of physicians’. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Howick J (2016).
Aulus Cornelius Celsus and ‘empirical’ and ‘dogmatic’ medicine JLL Bulletin: Commentaries on the history of treatment evaluation.

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Donaldson IML (2016).
Reflections on translating passages on ‘empirical’ and ‘dogmatic’ medicine in Celsus’s De medicina. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Donaldson IML (2016).
van Helmont’s proposal for a randomised comparison of treating fevers with or without bloodletting and purging. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Gachelin G, Garner P, Ferroni E, Tröhler U, Chalmers I (2016).
Evaluating Cinchona bark and quinine for treating and preventing malaria. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Peto R (2016).
Reflections on the design and analysis of clinical trials and meta-analyses in the 1970s and 1980s. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Donaldson IML (2016).
Antoine de Lavoisier’s role in designing a single-blind trial to assess whether ‘Animal Magnetism’ exists. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Lechuga RI, Castro AC (2016).
Dramatic effects of control measures on deaths from yellow fever in Havana, Cuba, in the early 1900’s. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Treasure T (2016).
Documenting the dramatic effects of operative treatment of mitral stenosis. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Mirza RD, Punja S, Vohra S, Guyatt G (2017).
The history and development of N of 1 trials. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Farewell V, Johnson A† (2017).
Major Greenwood and clinical trials. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Altman DG† (2017).
Donald Mainland: anatomist, educator, thinker, medical statistician, trialist, rheumatologist. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Treasure T (2017).
Turning blue babies pink: Alfred Blalock’s shunt for Fallot’s Tetralogy. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Bailey R, Howick J (2018).
Did John Stuart Mill influence the design of controlled clinical trials? JLL Bulletin: Commentaries on the history of treatment evaluation.

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Toth B (2018).
Pioneering controlled trials of treatments for erysipelas and pneumonia in Glasgow, 1936-47. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Schulz KF, Chalmers I, Altman DG†, Grimes DA, Moher D, Hayes RJ (2018).
‘Allocation concealment’: the evolution and adoption of a methodological term. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Weingarten S (2018).
Food in Daniel 1:1-16: the first report of a controlled experiment? JLL Bulletin: Commentaries on the history of treatment evaluation.

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Garattini S (2018).
Italian controlled trials to assess prevention and treatment of malaria, 1900-1930s. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tognoni G, Franzosi MG, Garattini S (2018).
Embedding patient- and public health-oriented research in a national health service: the GISSI experience. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Pormann PE (2018).
Concepts of patient groups in 10th-century Iraq and Persia JLL Bulletin: Commentaries on the history of treatment evaluation.

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Bird A (2018).
James Jurin and the avoidance of bias in collecting and assessing evidence on the effects of variolation. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Marson Smith P, Colquhoun D, Chalmers I (2019).
John Henry Gaddum’s 1940 guidance on controlled clinical trials JLL Bulletin: Commentaries on the history of treatment evaluation.

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Johnson A† (2019).
Textbooks and other publications on controlled clinical trials, 1948 to 1983. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Bishop D, Gill E (2019).
Robert Boyle on the importance of reporting and replicating experiments. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Jefferson T (2019).
Sponsorship bias in clinical trials – growing menace or dawning realisation? JLL Bulletin: Commentaries on the history of treatment evaluation.

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Tröhler U (2020)
Probabilistic thinking and the evaluation of therapies, 1700-1900. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Welsh BC, Podolsky SH, Zane SN (2020).
Between medicine and criminology: Richard Cabot’s contribution to the design of experimental evaluations of social interventions in the late 1930s. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Williams AN, O’Dell FJ, Aronson JK (2020).
Was William Harvey’s commitment to experimentation reflected in his clinical practice? JLL Bulletin: Commentaries on the history of treatment evaluation.

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Clarke M (2021).
The true meaning of DICE: Don’t Ignore Chance Effects JLL Bulletin: Commentaries on the history of treatment evaluation.

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Senn SJ, Chalmers I (2021).
Giving and taking: ethical treatment assignment in controlled trials. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Held L, Matthews RAJ (2022).
Paradigm lost: Carl Liebermeister and the development of modern medical statistics. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Ritskes-Hoitinga M, Pound P (2022).
The role of systematic reviews in identifying the limitations of preclinical animal research, 2000 – 2022. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Podolsky SH (2022).
The (Harry) Gold Standard: angina, suggestion, and the path to the “double-blind” test and Clinical Pharmacology. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Chalmers I, Matthews R, Glasziou P, Boutron I, Armitage P† (2023).
Analysis of clinical trial by Treatment Allocated or by Treatment Received? Applying ‘the intention-to-treat principle’. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Nylenna, M (2023).
Paul Owren, Christopher Bjerkelund and the dawn of controlled trials in Norway. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Glasziou P, Matthews R, Boutron I, Chalmers I, Armitage P† (2023)
The differences and overlaps between ‘explanatory’ and ‘pragmatic’ controlled trials: a historical perspective. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Clarke M, Chalmers I, Alderson P, Hopewell S (2024).
Reports of randomised control trials (RCTs) should begin and conclude with up-to-date systematic reviews of other relevant trials: a 25-year audit of the quality of trial reports. JLL Bulletin: Commentaries on the history of treatment evaluation.

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Big Data, Big Bias? Evidence on the effects of selection bias in large observational studies

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Quiz: Why treatment comparisons must address genuine uncertainties

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Quiz: Why treatment comparisons must be fair

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Quiz: Why Treatment Comparisons Are Essential

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Test your knowledge: Why treatment uncertainties should be addressed

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