Evidentemente "la ausencia de evidencia no significa evidencia de la ausencia" @Atul_Gawande @nytimes
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not sure how i feel about this article. Could have taken opposite view using knee scopes as example
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some good points though but i really think that flossing is a very poor example
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Better safety in anesthesia by using a pulse oxymeter has never been proved in a double-blind, randomized trial. Try one now?
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As my kid said the day the original flossing story went viral, "The evidence is in the sink."
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@VietHeartPA@nytimes don't forget x-validated high-power longitudinal studies - else why EMR/EHR? -
Great pt. Retrospective
#emr/#ehr outcome data may be/is used, to /chng/inform tx at@Intermountain -
Also, paired w/ supply chain, billing info, etc, real time $ assessment can b done, changes imp
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not sure if real-time is as beneficial as you feel, but certainly daily update.
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Agree. "Real-time" in this case, meaning NOT years, months
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thanks for addressing this, observation, common sense, expert observation all add to conclusions
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Totally agree.1example: penicillin in Syphilis has no RCT to support. (I totally agree with EBM, but it has limits!)
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Alternatives such as Bayesean statistics, must be added to RCT as a path to clinical proof.
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a fine balance required between experts and expts. - Trial, error and the God complexhttps://www.ted.com/talks/tim_harford …
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Article suggests it's impossible to do ethical RCT on flossing. Is that really true?
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Many cultures and countries don't floss and yet have great teeth
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@ann_deshong nice...parachute RCT is great e.g. From someone who used 2 skydive..thankfully I didn't rely on lack of evidence -
yes, good point!!
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