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Promoting Good Stewardship in Medicine - National Physicians Alliance
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Skip to navigation [n]. Skip to content [c]. Skip to footer [f]. Committed to Advancing the Core Values of the Medical Profession:. Service, Integrity, and Advocacy. Policy Statements and Issue Briefs. Joint Statements and Endorsements. Secure Health Care for All. Choosing Wisely /Good Stewardship. Conflict Free Medicine/Unbranded Doctor. National Physicians Alliance FDA Task Force. Copello Health Advocacy Fellowship. Update my Member Subscription. Join/Start a State Network. Become a Friend of the NPA.
doctorskeptic.blogspot.com
Doctor Skeptic: Surgery for high blood pressure
http://doctorskeptic.blogspot.com/2014/10/surgery-for-high-blood-pressure.html
Book and web reviews. Sunday, 19 October 2014. Surgery for high blood pressure. The most recent casualty of the sham surgery trial, adding to the list of operations that looked good and had good results until put to the leased biased test, is a procedure called renal denervation (cutting the nerves to the kidney). Years of good results showing that this procedure lowered blood pressure are now met with a blinded sham-controlled trial that showed no significant benefit over placebo. Yet, the marketing of ...
doctorskeptic.blogspot.com
Doctor Skeptic: The replication problem
http://doctorskeptic.blogspot.com/2014/09/the-replication-problem.html
Book and web reviews. Thursday, 18 September 2014. Replicated, they fail to reproduce the original findings. What am I talking about? To get the replication/reproduction terminology clear from the start, I will refer to replicating. Doing the same research again, preferably independently) and whether or not the replicated study reproduces. From the definitions above, we. The good and the bad. Reproduction of previous results is a good. For the original researchers, but it is good. According to Popper, it...
doctorskeptic.blogspot.com
Doctor Skeptic: Lessons from history #11: Extra- to Intra-cranial Bypass Surgery
http://doctorskeptic.blogspot.com/2014/08/lessons-from-history-11-extra-to-intra.html
Book and web reviews. Monday, 11 August 2014. Lessons from history #11: Extra- to Intra-cranial Bypass Surgery. The randomised trail (RCT) published in 1985 ( here. Fatal and non-fatal strokes occurred more frequently and earlier in the surgical group. The results were enough to reject the hypothesis that surgery improved the outcomes. The difference can be seen in the graph below. So how do we explain the previous “successes”? Basically, the randomised trial was a more objective, less biased test, and t...
doctorskeptic.blogspot.com
Doctor Skeptic: Evidence for bias
http://doctorskeptic.blogspot.com/p/evidence-for-bias.html
Book and web reviews. Given that I am always asking for the evidence, where is the evidence for this bias? Here on this page is where. I will generate a collection of classic articles on this topic and post the links on this page. Systematic Review of the Empirical Evidence of Study Publication Bias and Outcome Reporting Bias. K Dwan et al, PLOS One 2008). Empirical Evidence of Bias: Dimensions of methodological quality associated with estimates of treatments effects in controlled trials. Quantitative An...
doctorskeptic.blogspot.com
Doctor Skeptic: Lessons from history
http://doctorskeptic.blogspot.com/p/lessons-from-history.html
Book and web reviews. 1 The stress of modern life. 2 Evidence-based blood letting. 4 Repetitive strain injury. 5 Bone marrow transplant for breast cancer. 6 The Vioxx saga. 7 Medically induced thyroid cancer. 10 How magnesium lost its mojo. 11 EC-IC Bypass Surgery. 13 Hormone replacement therapy. Subscribe to: Posts (Atom). Join me on facebook or Twitter. Doctor Skeptic's facebook page. Knee arthroscopy in arthritis: an evidence-practice mismatch. Book review: The Great Cholesterol Myth. For decades, sur...
doctorskeptic.blogspot.com
Doctor Skeptic: Surgery for shoulder impingement
http://doctorskeptic.blogspot.com/2014/04/surgery-for-shoulder-impingment.html
Book and web reviews. Sunday, 27 April 2014. Surgery for shoulder impingement. Been done conclude that this operation adds nothing. The role of acromioplasty for patients with impingement (with or without a rotator cuff tear) was examined in a Cochrane review. It should be noted that one study used a placebo group, and that the placebo group did not do as well as the non-operative (physiotherapy) or operative groups, but the placebo group involved placebo physiotherapy, not placebo surgery. Will ask anot...
doctorskeptic.blogspot.com
Doctor Skeptic: Book/Web review: Testing Treatments
http://doctorskeptic.blogspot.com/2014/04/bookweb-review-testing-treatments.html
Book and web reviews. Friday, 25 April 2014. Book/Web review: Testing Treatments. Title: Testing Treatments 2. Authors: Imogen Evans, Hazel Thornton, Iain Chalmers, Paul Glasziou. Publisher: Pinter and Martin, London. Testing Treatments is a book, and Testing Treatments Interactive ( http:/ www.testingtreatments.org/. The book is so simply and clearly structured and written that nearly anybody could read this and understand the principles. There is complete avoidance of statistical and medical langua...
doctorskeptic.blogspot.com
Doctor Skeptic: Placebo surgery
http://doctorskeptic.blogspot.com/p/placebo-surgery.html
Book and web reviews. Surgery for Parkinson's disease. Why placebo surgery trials are ethical, and necessary. Surgery for Meniere's disease. Arthroscopy for knee osteoarthritis. Lumbar spine fusion for back pain. Knee arthroscopy for a torn meniscus. Surgery for high blood pressure. Heart surgery for migraine. Laparoscopy for bowel adhesions. Subscribe to: Posts (Atom). Join me on facebook or Twitter. Doctor Skeptic's facebook page. Knee arthroscopy in arthritis: an evidence-practice mismatch. For decade...
