title: Justification for conducting neurological clinical trials as part of patient care within private practice.
abstract: The aim of this review was to assess the benefits and drawbacks of conducting neurological clinical trials and research in private practice for the patients, clinician, Practice Manager, sponsors/Clinical Research Organisations (CROs) and Clinical Trial Coordinator (CTC) to determine if this is justified for all involved. A combination of literature reviews, original research articles and books were selected from 2005 to 2015. Provided that the practice has sufficient number of active trials to prevent financial loss, support staff, adequate facilities and equipment and time, the benefits outweigh the drawbacks. Clinical trials provide patients with more thorough monitoring, re-imbursement of trial-related expenses and the opportunity to try an innovative treatment at no charge when other options have failed. For the clinician, clinical trials provide more information to ensure better care for their patients and improved treatment methods, technical experience and global recognition. Trials collect detailed and up-to-date information on the benefits and risks of drugs, improving society's confidence in clinical research and pharmaceuticals, allow trial sponsors to explore new scientific questions and accelerate innovation. For the CTC, industry-sponsored clinical trials allow potential entry for a career in clinical research giving CTCs the opportunity to become Clinical Research Associates (CRAs), Study Start-Up Managers or Drug Safety Associates.
authors.affiliation: Liverpool Hospital, Sydney, NSW, Australia.|Griffith University, Gold Coast and Brisbane, Qld, Australia.|Strategic Health Evaluators, Sydney, NSW, Australia.
authors.forename: R G
authors.initials: RG
authors.lastname: Beran
authors.affiliation: Strategic Health Evaluators, Sydney, NSW, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Stepanova
authors.affiliation: Strategic Health Evaluators, Sydney, NSW, Australia.
authors.forename: M E
authors.initials: ME
authors.lastname: Beran
mesh_terms: D002986:Clinical Trials as Topic; D003362:Cost-Benefit Analysis; D006801:Humans; D005791:Patient Care; D010820:Physicians; D011331:Private Practice / Q000458:organization & administration*; D012108:Research Personnel