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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 26 Nov 2016

    A needed reminder that absence of randomized evidence ≠ absence of knowledge.http://nyti.ms/2gxE5Ow 

    1:13 PM - 26 Nov 2016
    • 354 Retweets
    • 374 Likes
    • Nicole Kuderer Tonika Howard Britt UnlockfoodApp karenm Brad Dudding Alexandra Winter Delight Me, Inc. Coralie
    15 replies 354 retweets 374 likes
      1. José Vicente Roig‏ @roigvila 27 Nov 2016
        Replying to @Atul_Gawande

        Evidentemente "la ausencia de evidencia no significa evidencia de la ausencia" @Atul_Gawande @nytimes

        0 replies 3 retweets 5 likes
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      1. Hilda Bastian‏ @hildabast 26 Nov 2016
        Replying to @Atul_Gawande

        And in cartoon form (From http://statistically-funny.blogspot.com/2013/06/studies-of-cave-paintings-have-shown.html …)pic.twitter.com/jNh28iCN0F

        0 replies 5 retweets 4 likes
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      1. New conversation
      2. Sports Clinic NQ‏ @SportsClinicNQ 26 Nov 2016
        Replying to @Atul_Gawande @nytimes

        not sure how i feel about this article. Could have taken opposite view using knee scopes as example

        1 reply 0 retweets 2 likes
      3. Sports Clinic NQ‏ @SportsClinicNQ 26 Nov 2016
        Replying to @SportsClinicNQ @Atul_Gawande @nytimes

        some good points though but i really think that flossing is a very poor example

        0 replies 1 retweet 2 likes
      4. End of conversation
      1. Karen Politis‏ @karenpolitis 26 Nov 2016
        Replying to @Atul_Gawande

        Better safety in anesthesia by using a pulse oxymeter has never been proved in a double-blind, randomized trial. Try one now?

        0 replies 1 retweet 3 likes
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      1. Ron Mills‏ @maelstream 26 Nov 2016
        Replying to @Atul_Gawande

        As my kid said the day the original flossing story went viral, "The evidence is in the sink."

        0 replies 0 retweets 7 likes
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      1. New conversation
      2. Stephen Borstelmann‏ @drsxr 1 Dec 2016
        Replying to @Atul_Gawande

        @VietHeartPA @nytimes don't forget x-validated high-power longitudinal studies - else why EMR/EHR?

        1 reply 0 retweets 1 like
      3. Viet Le MPAS PA-C, AACC‏ @VietHeartPA 1 Dec 2016
        Replying to @drsxr @Atul_Gawande @nytimes

        Great pt. Retrospective #emr/#ehr outcome data may be/is used, to /chng/inform tx at @Intermountain

        1 reply 0 retweets 2 likes
      4. Viet Le MPAS PA-C, AACC‏ @VietHeartPA 1 Dec 2016
        Replying to @VietHeartPA @drsxr and

        Also, paired w/ supply chain, billing info, etc, real time $ assessment can b done, changes imp

        1 reply 0 retweets 1 like
      5. Stephen Borstelmann‏ @drsxr 1 Dec 2016
        Replying to @VietHeartPA @Atul_Gawande and

        not sure if real-time is as beneficial as you feel, but certainly daily update.

        1 reply 0 retweets 1 like
      6. Viet Le MPAS PA-C, AACC‏ @VietHeartPA 1 Dec 2016
        Replying to @drsxr @Atul_Gawande and

        Agree. "Real-time" in this case, meaning NOT years, months 😉

        0 replies 0 retweets 1 like
      7. End of conversation
      1. insuminme  🌊‏ @insuminme 26 Nov 2016
        Replying to @Atul_Gawande @nytimes

        thanks for addressing this, observation, common sense, expert observation all add to conclusions

        0 replies 1 retweet 1 like
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      1. Alejandro Martin Quiros‏ @MartinQuirosMD 26 Nov 2016
        Replying to @Atul_Gawande @nytimes

        Totally agree.1example: penicillin in Syphilis has no RCT to support. (I totally agree with EBM, but it has limits!)

        0 replies 0 retweets 2 likes
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      1. Stephen Ondra‏ @StephenOndra 26 Nov 2016
        Replying to @Atul_Gawande @nytimes

        Alternatives such as Bayesean statistics, must be added to RCT as a path to clinical proof.

        0 replies 0 retweets 1 like
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      1. bob dyson‏ @BobDyson74 26 Nov 2016
        Replying to @Atul_Gawande @nytimes

        a fine balance required between experts and expts. - Trial, error and the God complexhttps://www.ted.com/talks/tim_harford …

        0 replies 1 retweet 0 likes
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      1. Mark McLaren‏ @MarkMcLaren6 3 Dec 2016
        Replying to @Atul_Gawande @nytimes

        Article suggests it's impossible to do ethical RCT on flossing. Is that really true?

        0 replies 0 retweets 0 likes
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      1. Kevin A‏ @GynRadonc 27 Nov 2016
        Replying to @Atul_Gawande

        Many cultures and countries don't floss and yet have great teeth

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. Carlos Fernandez‏ @rojasfec 27 Nov 2016
        Replying to @Atul_Gawande

        @ann_deshong nice...parachute RCT is great e.g. From someone who used 2 skydive..thankfully I didn't rely on lack of evidence

        1 reply 0 retweets 0 likes
      3. Ann DeShong, MD‏ @ann_deshong 29 Nov 2016
        Replying to @rojasfec @Atul_Gawande

        yes, good point!!

        0 replies 0 retweets 0 likes
      4. End of conversation

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