Showing posts with label evidence based medicine. Show all posts
Showing posts with label evidence based medicine. Show all posts
Wednesday, June 15, 2022

Diagnostic time out

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What is a diagnostic time out? Succinctly defined, it’s a deliberate exercise in differential diagnosis and systematic clinical reasoning in...
Saturday, June 11, 2022

A little more on metacognition

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This article from Academic Emergency Medicine, published in 2002, remains applicable today. It makes the point that heuristics in medicine ...

Indulge me in a little metacognition

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I found an interesting post about cognitive shortcuts in medicine. I have a minor objection to the title of the post which is Cognitive Erro...
Wednesday, April 10, 2019

Atul Gawande on the electronic medical record

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Atul Gawande has a piece in the New Yorker titled Why Doctors Hate their Computers . The title is deceptive. In the first place doctors ...
Friday, March 08, 2019

Annals article on EBM and machine learning makes huge category errors

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From the beginning of the paper : Machine learning (ML), which converts complex data into algorithms, challenges the traditional epidemiol...
Friday, February 15, 2019

Limitations of clinical trials with surrogate endpoints

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Recently published : Abstract Background Surrogate endpoint trials test strategies more efficiently but are ...
Saturday, December 15, 2018

The campaign against reperfusion therapy for stroke

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It’s the most massive push-back I’ve ever seen in my career. It’s profiled in this NYT article . This isn’t new, and I’m su...
Saturday, May 12, 2018

Intention to treat analysis in RCTs

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What is it? Why is it important?
Friday, May 04, 2018

Are we practicing EBM in the treatment of ARDS?

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Far from it, it seems . Just over a quarter of patients with ARDS in the study got low tidal volume ventilation. Moreover, ...
Wednesday, April 11, 2018

Can someone explain to me why I need AHRQ?

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According to this Kevin MD post we'll all suffer if it becomes marginalized anymore than it already is . I've n...
Friday, September 08, 2017

Glossary of critical appraisal

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This piece has some helpful information. However it’s a bit imprecise, offering descriptions that “talk around” the variou...
Friday, May 27, 2016

Perspective and common sense in managing type 2 diabetes in older individuals

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A recent JAMA paper reviewed this topic. From the abstract: Four large randomized clinical trials (RCTs), ranging in size ...
Tuesday, April 05, 2016

Has EBM been hijacked? Yes but not in the way John Ioannidis says it has.

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Dr. David Gorski is a surgical oncologist who writes for Science Based Medicine .  I am an enthusiastic follower of his posts there and on h...
Friday, April 01, 2016

Should evidence based medicine be declared obsolete?

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Not in my opinion but there are some policy makers out there who think it should though they won't admit it. Some by imp...
1 comment:
Tuesday, February 23, 2016

The quest for open access point of care resources: can we have a free Up to Date?

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Should physicians have to pay for information resources? Many physicians, among the most vocal being the pharmascolds , have...
4 comments:
Monday, February 22, 2016

The new CHEST guidelines for antithrombotic therapy

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This go round the update is being handled a bit differently it would seem, by releasing one section at a time.  As of now only the section o...