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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. Audi Kiskowski Byrne‏ @a_haema 10 Aug 2016
      Replying to @a_haema @GidMK

      that's neutral data if a study can't tell the difference between actually reducing pain and placebo

      1 reply 0 retweets 0 likes
    2. Health Nerd‏Verified account @GidMK 10 Aug 2016
      Replying to @a_haema

      But since there's no plausible mechanism of action, it's more appropriate to assume no benefit until proven otherwise.

      2 replies 0 retweets 0 likes
    3. Audi Kiskowski Byrne‏ @a_haema 10 Aug 2016
      Replying to @GidMK

      yes, you can assume no benefit -- but epistemologically need to recognize this is your prior (gut assessment) not evidence based

      1 reply 0 retweets 0 likes
    4. Health Nerd‏Verified account @GidMK 10 Aug 2016
      Replying to @a_haema

      I disagree. The null hypothesis is always no benefit until on has been shown, otherwise your reasoning is on shaky grounds.

      2 replies 0 retweets 0 likes
    5. Health Nerd‏Verified account @GidMK 10 Aug 2016
      Replying to @GidMK

      At this stage all we can say is that there isn't sufficient evidence to distinguish cupping from a placebo.

      1 reply 0 retweets 0 likes
    6. Audi Kiskowski Byrne‏ @a_haema 10 Aug 2016
      Replying to @GidMK

      yes, I agree with that. I just literally interpret that as neutral rather than disconfirming because if it DID work how to know?

      1 reply 0 retweets 0 likes
    7. Health Nerd‏Verified account @GidMK 10 Aug 2016
      Replying to @a_haema

      Personally I'd like to see a large, well-conducted RCT that demonstrated a significant effect.

      1 reply 0 retweets 0 likes
    8. Audi Kiskowski Byrne‏ @a_haema 10 Aug 2016
      Replying to @GidMK

      seems wholly reasonable. Just there could be other ways to know things -- for example, athletes may be seeking specific sensations.

      1 reply 0 retweets 0 likes
    9. Audi Kiskowski Byrne‏ @a_haema 10 Aug 2016
      Replying to @a_haema @GidMK

      I'm not saying this is going on (don't know) but it could be they're familiar with what muscle healing feels like, don't need RCT.

      1 reply 0 retweets 0 likes
    10. Audi Kiskowski Byrne‏ @a_haema 10 Aug 2016
      Replying to @a_haema @GidMK

      it seems implausible to us, but evidence based medicine isn't saying one thing or another. It also doesn't seem equipped to here.

      1 reply 0 retweets 0 likes
      Health Nerd‏Verified account @GidMK 10 Aug 2016
      Replying to @a_haema

      As with most alt med, we may not be able to measure how it works, but we can measure if it does.

      10:17 PM - 10 Aug 2016
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Health Nerd‏Verified account @GidMK 10 Aug 2016
          Replying to @GidMK

          If there are no significant benefits demonstrated in rigorous trials, it's unlikely that the treatment differs from placebo.

          1 reply 0 retweets 0 likes
        3. Audi Kiskowski Byrne‏ @a_haema 10 Aug 2016
          Replying to @GidMK

          that's key question though: CAN we measure if it works when even placebo has significant benefit? Pain reduction seems inaccessible.

          1 reply 0 retweets 0 likes
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