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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. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @GidMK

      Is the evidence for cigs causation or association?

      2 replies 0 retweets 0 likes
    2. Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @WeDietitians

      As I said, it's Grade C The point being that Grade C evidence can be and is used to inform policy decisions

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

      Right ok - so you’re saying all Grade C is equal? And I guess “at a glance” it could be. So let’s just take that as is for a moment. The next step is, is Grade C enough evidence to instruct a population? You say “yes we do it all the time”.

      2 replies 0 retweets 0 likes
    4. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @WeDietitians @GidMK

      “Telling people what to eat” can have adverse outcomes. We don’t know what they are bc we’ve not looked. But an observation of a relationship between “number of years with ADG and rates of diabetes”pic.twitter.com/2eEc2q7m44

      1 reply 0 retweets 0 likes
    5. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @WeDietitians @GidMK

      What is an adverse outcome from a person wearing their seatbelt? From avoiding asbestos? Etc. People don’t HAVE to smoke to survive. Nor do people have to drive a car to survive. Food is needed for survival. It’s in the “human right” list.

      2 replies 0 retweets 0 likes
    6. Health Nerd‏Verified account @GidMK 3 Sep 2018
      Replying to @WeDietitians

      None of that has the slightest bearing on whether Grade C evidence can or should be used to inform policy

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

      Ok, maybe I’ll try to explain differently... You are saying “yes GRADE C is enough to instruct a population what to do bc that’s what we’ve always done”. I’m saying “is GRADE C evidence enough to instruct populations what to eat given

      2 replies 0 retweets 0 likes
    8. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @WeDietitians @GidMK

      a) doing so has not met its objective b) has likely done harm c) has been infiltrated by industry along the way d) other options exist

      1 reply 0 retweets 0 likes
    9. We Dietitians‏ @WeDietitians 3 Sep 2018
      Replying to @WeDietitians @GidMK

      How do we know “a public policy is working”? .....how much evidence is enough to change it?

      1 reply 0 retweets 0 likes
    10. We Dietitians‏ @WeDietitians 4 Sep 2018
      Replying to @WeDietitians @GidMK

      There’s a degree of collateral damage with any policy - an unexplored area of epi that doesn’t seem to rate as part of the decision-making. Adverse outcomes may not be mitigated by, say, insisting on Grade B & above - but we won’t know unless “adverse outcomes” are considered

      2 replies 0 retweets 0 likes
      Health Nerd‏Verified account @GidMK 4 Sep 2018
      Replying to @WeDietitians

      You can't generate Grade B evidence for many issues. Smoking is a prime example. Can't run an RCT on smoking. What would you propose we do in these situations?

      12:15 AM - 4 Sep 2018
      2 replies 0 retweets 0 likes
        1. New conversation
        2. We Dietitians‏ @WeDietitians 4 Sep 2018
          Replying to @GidMK

          As has been said previously on Twitter - critique does not demand solutions. 1. Please stop using comparators 2. ADG have not met their objective 3. Possible objective not achieved for many reasons, one is the poor evidence (& historical lack thereof) it’s based on

          2 replies 0 retweets 1 like
        3. We Dietitians‏ @WeDietitians 4 Sep 2018
          Replying to @WeDietitians @GidMK

          I’m not sure how much time you spent going over the actual evidence for the ADG - but, are you saying “you can’t fault” based on the methodological approach? Or did you repeat the search? Or the quality Ax? Or look at industry funded and/or repeat use?

          1 reply 0 retweets 0 likes
        4. Show replies
        1. We Dietitians‏ @WeDietitians 4 Sep 2018
          Replying to @GidMK

          This is not under dispute ☝️ I’m trying to keep to point

          0 replies 0 retweets 0 likes
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