Hoping for a @virtahealth 2.0 with randomization and some more guidance on emphasizing unsaturated fats. My bets are on much better lipid profile than they saw with just the large weight loss.https://twitter.com/YoniFreedhoff/status/1065199280409989121 …
But we have no way of knowing if it's cost-effective. For that, we'd have to have an RCT comparing Virta to at least normal care (or ideally best-practice care), and create an incremental cost-effectiveness ratio. That's kind of the problem with running a flawed trial!
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And it's a really important question. You can run a weekly clinic that sees thousands each year for the same price as the subscription fee for 60-odd patients on Virta
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The cost would be dramatically less with our mom and pop shoppe model.
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Do you think virta’s cost saving estimates per patient are out of keeping with reality? It would be neat to see Virta type IT platforms serve as a delivery system of different well designed dietary interventions for RCT purposes. Lot of $$ would be needed to develop resources.
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I'm not saying they're out of keeping with reality, but I would say that they are, similarly to the study, misleading, because it's a case of comparing Virta to another effective treatment, not care as usual/nothing
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