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The authors conducted a systematic review of 123 summaries of safety and effectiveness data (SSEDs) for 78 PMAs for high-risk cardiovascular devices that received PMA between January 2000 and December 2007, examining the methodological characteristics and primary end points. SSEDs are intended to present a reasoned, objective, and balanced critique of the scientific evidence which served as the basis of the decision to approve or deny the PMA. The researcher found that of the 78 PMAs, 51 (65 percent) were supported by a single study.

Seniors seek vitality in growth hormone but questions remain about safety, efficacy (November 4, 2003) White House Backs Limits on Spending for Medicare (November 4, 2003) According to a study published in the Annals of Internal Medicineonly half of all elderly people receive the medical care they need. The percentage of older people receiving adequate care for age-related diseases such as Alzheimer‚s and dementia drops down to only 31 percent. The American Medical Association cautions that the study looked at too small a sample to draw definite conclusions about the country's health care system.]