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Australia needs a better system for health care evaluation

Fiona J Stanley and Eric M Meslin
Med J Aust 2007; 186 (5): . || doi: 10.5694/j.1326-5377.2007.tb00875.x
Published online: 5 March 2007

Is it unethical to avoid using all available information to monitor drug safety?

Adverse effects of health care have recently been in the news, from the worrying unexpected cardiovascular risks associated with use of the cyclooxygenase-2 inhibitor rofecoxib (Vioxx) to reports of high percentages of complications following routine surgery.1,2 As medical care becomes more complex, sophisticated and expensive in Australia, it is paramount that we have the best systems in place to monitor its impact and evaluate its safety and efficacy.


  • 1 Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, Perth, WA.
  • 2 Indiana University, Indianapolis, Ind, USA.


Correspondence: fiona@ichr.uwa.edu.au

  • 1. McGettigan P, Henry D. Cardiovascular risk and inhibition of cyclooxygenase: a systematic review of the observational studies of selective and nonselective inhibitors of cyclooxygenase 2. JAMA 2006; 296: 1633-1644. [See comment: JAMA 2006; 296: 1653-1656].
  • 2. Gottliebsen R, Pirani C. Failure rate of surgery reaches 20pc. The Australian 2006; 11 Nov: 1. http://www.theaustralian.news.com.au/story/0,20867,20737900-601,00.html (accessed Jan 2007).
  • 3. Hobbs MS, McCall MG. Health statistics and record linkage in Australia. J Chronic Dis 1970; 23: 375-381.
  • 4. Stanley FJ, Croft ML, Gibbins J, Read AW. A population database for maternal and child health research in Western Australia using record linkage. Paediatr Perinat Epidemiol 1994; 8: 433-447.
  • 5. Brook EL, Rosman DL, Holman CDJ, Trutwein B. Summary report: research outputs project, WA Data Linkage Unit (1995–2003). Perth: WA Data Linkage Unit, 2005. http://www.publichealth.uwa.edu.au/__data/page/63033/ROP_SUMMARY3.pdf (accessed Jan 2007).
  • 6. Kelman CW, Bass AJ, Holman CD. Research use of linked health data — a best practice protocol. Aust N Z J Public Health 2002; 26: 251-255.
  • 7. Trutwein B, Holman CD, Rosman DL. Health data linkage conserves privacy in a research-rich environment. Ann Epidemiol 2006; 16: 279-280.
  • 8. Baciu AS, Stratton K, Burke SP, editors; Committee on the Assessment of the US Drug Safety System. The future of drug safety: promoting and protecting the health of the public. Washington, DC: The National Academies Press, 2006. http://www.nap.edu/catalog/11750.html (accessed Jan 2007).

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