Identified evidence suggests that cardiovascular disease ( CVD ) prevention services should consider regulation of blood glucose as a key target for intervention .
The primary objective of this study was to analyze the most up-to- date evidence regarding whether and how blood sugar regulation influences cardiovascular health promotion and disease prevention by carrying out an umbrella review .
False Dichotomies and Health Policy Research Designs: Randomized Trials Are Not Always the Answer
Some medical scientists argue that only data from r and omized controlled trials ( RCTs ) are trustworthy . They cl aim data from natural experiments and administrative data sets are always spurious and can not be used to evaluate health policies and other population -wide phenomena in the real world . While many acknowledge biases caused by poor study design s , in this article we argue that several valid design s using administrative data can produce strong findings , particularly the interrupted time series ( ITS ) design . Many policy studies neither permit nor require an RCT for cause- and -effect inference . Framing our arguments using Campbell and Stanley ’s classic research design monograph , we show that several “ quasi-experimental ” design s , especially interrupted time series ( ITS ) , can estimate valid effects ( or non-effects ) of health interventions and policies as diverse as public insurance coverage , speed limits , hospital safety programs , drug abuse regulation and withdrawal of drugs from the market . We further note the recent rapid uptake of ITS and argue for exp and ed training in quasi-experimental design s in medical and graduate schools and in post-doctoral curricula
Identified evidence suggests that cardiovascular disease ( CVD ) prevention services should consider regulation of blood glucose as a key target for intervention .
The primary objective of this study was to analyze the most up-to- date evidence regarding whether and how blood sugar regulation influences cardiovascular health promotion and disease prevention by carrying out an umbrella review .