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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    1. Health Nerd‏Verified account @GidMK 6 Jun 2018
      Replying to @WeDietitians

      That seems like a poor choice, evidence-wise. Industry funding is one source of bias, true, but there are plenty of other ones. Not all industry funding is bad and not all non-industry research is good

      1 reply 0 retweets 0 likes
    2. We Dietitians‏ @WeDietitians 6 Jun 2018
      Replying to @GidMK

      More than reasonable ADG assessed with and without this first bias. Then we can see what the next step is. The poorer choice is not to do this 👆as a first step. It will be time consuming thought bc the "spreadsheet" of evidence did not identify "industry funded" as yes/no.

      3 replies 0 retweets 0 likes
    3. We Dietitians‏ @WeDietitians 6 Jun 2018
      Replying to @WeDietitians @GidMK

      Gid, you can keep on the "more of the same" train. Not sure what you need to know to consider "what we've been doing is not working". I'm on that train. If you "there's nothing wrong with what we've got" me though...I am going to get a bit cranky

      1 reply 0 retweets 0 likes
    4. We Dietitians‏ @WeDietitians 6 Jun 2018
      Replying to @WeDietitians @GidMK

      Sorry Gid, that's not really my style to be pseudo-scary 👆 - I'm genuinely looking to connect with people who are on my train. That doesn't mean the other train can't challenge, I'm drowning over here with the constant rebuttal of my REASONABLE suggestions *ffs*

      1 reply 0 retweets 1 like
    5. Health Nerd‏Verified account @GidMK 6 Jun 2018
      Replying to @WeDietitians

      That's ok I take your point. I've muted several people recently who descended to childish insults and taunts rather than discussion

      2 replies 0 retweets 0 likes
    6. Health Nerd‏Verified account @GidMK 6 Jun 2018
      Replying to @GidMK @WeDietitians

      But I would question the reasonableness of excluding all industry-funded research a priori given that this is not the norm anywhere in public health research for a good reason: bias is too complex to single out a specific piece like that

      1 reply 0 retweets 0 likes
    7. We Dietitians‏ @WeDietitians 6 Jun 2018
      Replying to @GidMK

      That is one bias that is obvious, universal, easiest to identify. Reasons not to do it do not out weight the benefit in current socio-political food-health landscapes. If we didn't have the highest rate of food-related chronic disease, you may have a point.

      2 replies 0 retweets 0 likes
    8. Health Nerd‏Verified account @GidMK 6 Jun 2018
      Replying to @WeDietitians

      So let's exclude all poorly-randomized studies then. Or ones that aren't preregistered. Or don't use sample size calculations. Or don't publish data openly. Or have high dropout rates. These are all pretty simple biases, after all!

      2 replies 0 retweets 0 likes
    9. We Dietitians‏ @WeDietitians 6 Jun 2018
      Replying to @GidMK

      Sure....pop them into the sensitivity analysis too. All reasonable items to go into the mix.

      1 reply 0 retweets 0 likes
    10. Health Nerd‏Verified account @GidMK 7 Jun 2018
      Replying to @WeDietitians

      No, I mean, they do indeed go into the mix - that's how you get gradations of evidence (A, B, C etc). What you're suggesting is that we prioritize a single source of bias, exclude all studies with that source, and then analyze the data - that is not best practice/evidence-based!

      1 reply 0 retweets 0 likes
      Health Nerd‏Verified account @GidMK 7 Jun 2018
      Replying to @GidMK @WeDietitians

      There's evidence that industry funding biases studies - usually, these studies tend to provide favourable conclusions for the industry funder. However, poor allocation concealment (for example), is arguably an even bigger source of bias, giving worse results

      3:37 PM - 7 Jun 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. We Dietitians‏ @WeDietitians 7 Jun 2018
          Replying to @GidMK

          These “reasons” are exactly why a series of sensitivity analyses should have been conducted. Gid, we are talking about a compilation of evidence that shapes our FOOD SUPPLY - knowledge about limitations is the very reason we should APPLY WITH CAUTION as its “GRADE C” suggests

          1 reply 0 retweets 0 likes
        3. We Dietitians‏ @WeDietitians 7 Jun 2018
          Replying to @WeDietitians @GidMK

          The ADG are not some epi case study, they are RIGHT NOW influencing our real world - and not for the better. Your tweets here support a call for an immediate recall and rethink of the messiness that is “evidence” “Best available” is not “best for public health”.

          0 replies 0 retweets 0 likes
        4. End of conversation

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