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.
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Replying to @DugaldSeely @LyndaBalneaves and
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/ …4 replies 0 retweets 7 likes -
Replying to @TheSGEM @DugaldSeely and
@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?3 replies 0 retweets 3 likes -
Replying to @TheSGEM @DugaldSeely and
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.
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Replying to @gorskon @DugaldSeely and
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.1 reply 0 retweets 1 like -
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Replying to @DrAndyHoIt @TheSGEM and
Precisely. Using Bayesian analysis taking prior probability into account, even the “positive” acupuncture studies aren’t, not really.
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Replying to @gorskon @DugaldSeely and
I agree with this but try to be cautious not to claim something does not work. Then I have the burden. I’m fine stating there is no good evidence for
#acupuncture and cannot recommend its use.1 reply 0 retweets 0 likes -
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Replying to @gorskon @DugaldSeely and
More comfortable taking a stronger position on homeopathy. Easier to defend a position that it does not work beyond placebo. Not all pseudoscience is the same. Each must be evaluated individually for its validity.
2 replies 1 retweet 2 likes
But the evidence base for homeopathy isn’t all that different in quality than that for acupuncture. The only difference is that homeopathy has a proposed mechanism of action that defies multiple laws of chemistry and physics. That’s my point about prior probability.
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Replying to @gorskon @DugaldSeely and
Defying multiple laws of physics and chemistry is a significant difference and exactly why I adopt a stronger position to n homeopathy.
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