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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
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@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. Jon Wardle‏ @wardlejon 24 Mar 2019

      Response by critics to updated review of "whole practice" naturopathy evidence is interesting. Authors explicitly state they use same methods as gov review conducted 6yrs ago. Critics lauded rigour of gov review, but claim methods in this review are flawed https://www.abc.net.au/news/2019-03-08/southern-cross-university-naturopathy-study/10879232 …

      1 reply 1 retweet 2 likes
    2. Health Nerd‏Verified account @GidMK 24 Mar 2019
      Replying to @wardlejon

      I think the criticism is fair. Looking at the included studies in the review, you see things like this The "naturopathic" part of the treatment includes enemas, which are both useless for lung function and dangerous. The primary intervention is yoga. Why include in the review?pic.twitter.com/UdZ70qCLjW

      3 replies 0 retweets 0 likes
    3. Jon Wardle‏ @wardlejon 24 Mar 2019
      Replying to @GidMK

      I also don't think it is true to state that aenemas (which I agree are not useful) are the only "naturopathic" part of the treatment. Most naturopaths prescribe relatively conventional or evidence-based treatments as part of the "naturopathic" practice https://www.phaa.net.au/documents/item/3060 …

      1 reply 0 retweets 1 like
    4. Health Nerd‏Verified account @GidMK 24 Mar 2019
      Replying to @wardlejon

      Right, but that's the issue surely? What's the marginal benefit on top of yoga of "diet, mud pack, enema, steam treatments, hydrotherapy, and massage" and how can you even measure that when the study itself didn't?

      1 reply 0 retweets 0 likes
    5. Jon Wardle‏ @wardlejon 24 Mar 2019
      Replying to @GidMK

      I don't disagree. But the government review itself said that the evidence for individual practices was not relevant and only "whole practise" studies should be considered. I'm on record stating it was not appropriate then

      1 reply 0 retweets 0 likes
      Health Nerd‏Verified account @GidMK 24 Mar 2019
      Replying to @wardlejon

      I guess the challenge there is what is defined as "whole practice". This review seems to have taken an extremely broad approach, but I'm not sure that helps the case given how broad the interventions were

      8:19 PM - 24 Mar 2019
      3 replies 0 retweets 0 likes
        1. Jon Wardle‏ @wardlejon 24 Mar 2019
          Replying to @GidMK

          If you use a term like "whole practice" then by definition that is going to be broad. You can't look at studies of naturopathic practise and say that only certain elements should be considered relevant to naturopathy because that fits your own perception (as Dwyer did in article)

          0 replies 0 retweets 0 likes
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        1. Jon Wardle‏ @wardlejon 24 Mar 2019
          Replying to @GidMK

          "Whole practice" as a tool to measure effectiveness highly problematic IMO Even in narrow fields gov review took an unusual "whole practice" interpretation - for example, in their review of herbal medicine practice they stated that evidence for herbal medicines was not relevant.

          0 replies 0 retweets 0 likes
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        2. Jon Wardle‏ @wardlejon 24 Mar 2019
          Replying to @GidMK

          Ultimately it comes down to how we evaluate clinical practice. Do we measure effectiveness of what they actually do, or do we measure effectiveness of who they are (whole practice)? I'm in the former camp - and won't change my mind depending on whether I get the answer I want

          1 reply 0 retweets 1 like
        3. Health Nerd‏Verified account @GidMK 24 Mar 2019
          Replying to @wardlejon

          That's fair imo, but comes back to the purpose of the review, surely? If we cannot evaluate "naturopathy" as a clinical practice, then there definitely shouldn't be a rebate for "naturopathy", it should be for the specific practices that can be assessed as effective

          3 replies 0 retweets 0 likes
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