What exactly are these Propagandists protecting? Oh wait, no need to answer that. And it has nothing to do with patients.pic.twitter.com/L6j6V0f7Nr
Surgeon/scientist promoting science in medicine and exposing quackery. Editor of Science-Based Medicine. My opinions do NOT represent those of my employers.
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What exactly are these Propagandists protecting? Oh wait, no need to answer that. And it has nothing to do with patients.pic.twitter.com/L6j6V0f7Nr
Love how they shout at the top of their lungs that there is no evidence...and then get their undergarments in a knot when studies are funded. Can't have it both ways...pic.twitter.com/F7dAWXpBM9
If you had seen a fraction of the number of patients i have that have benefited from acupuncture you wouldn’t say this. The literature of evidence is also supportive. Acupuncture is low cost, non toxic, often effective and non addictive.
I have done a few critical appraisals on #acupuncture trials within my scope of practice. Not convinced of its efficacy based on current best evidence.https://thesgem.com/2017/09/sgem187-pin-cushion-acupuncture-in-the-emergency-department/ …
@DugaldSeely Do you recognize without a proper RCT you could be fooled by clinical experience (just like me)? How can you separate placebo effect from real effect?
Except that, in the case of acupuncture, there are already more than enough RCTs to conclude with confidence that acupuncture has no specific effects for anything and is nothing more than a theatrical placebo.
I hear you but do not want to shift the burden of proof. My position is that I’m not convinced #acupuncture does work. I’m more comfortable taking a stronger position on homeopathy.
Each claim would need to be demonstrated. I agree there is a lack of evidence supporting the pathophysiologic explanation for #acupuncture. Lack of know mechanism does not mean it can’t be investigated. To date, the burden of proof for efficacy has not been met IMO.
True, lack of mechanism doesn’t necessarily mean it can’t work, but a lack of a plausible mechanism does affect a Bayesian analysis by lowering the proper plausibility.
Again -agree. From a Bayesian perspective it would need to be a large effect size with narrow 95%CI around the point estimate for me to reject the null hypothesis.
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