The history of EBM shows that many of these interventions fail upon rigorous testing. So if you are a proponent of an unproven intervention, how can you avoid the call to test it rigorously?
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Even the pharma companies who I give such a lashing to in
@Plenary_Session for running bad trials, are better than many proponents of devices and interventions because they at least show this under *some* circumstances.Show this thread
So, I think this rejoinder to the @bmj_latest will be misused for another decade and perpetuate the mentality of no need to test what works because we already know it (original paper) and supplement it with...
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when trials are negative of things we think work (this paper) that must be because they *excluded sickest pts *trivialized the question *insert favorite objection
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I wonder if the
@bmj_latest --- the premiere guardian of EBM -- recognizes that they are undermining their own cause. Oh well, all I can do is make a podcast!@Plenary_SessionShow this thread -
Check it out. Already being used the way i suggestedhttps://twitter.com/ajaykirtane/status/1073278344731475969?s=20 …
Brilliantly done and too bad it wasn't (at least directly) about PCI otherwise it would have made the@nytimes
https://twitter.com/rwyeh/status/1073267912037814273 …Show this thread -
On this episode of
@Plenary_Session I flesh out this discussion even morehttps://soundcloud.com/plenarysession/129-rct-of-parachutes-and-frameworks-for-internal-medicine-with-dr-andre-mansoor …Show this thread
End of conversation
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My take away from this is not that these authors are suggesting we should not be testing interventions because we think they already work, but that these pre-existing biases can distort the trial. I agree with you that it’s important people do not interpret it in this way
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