I had three knee surgeries while I was in college, all recommended by the athletic department's orthopedic doc. I've thought for a long time that they were basically placebos, can't exactly un-ring that bell, though.
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Pretty sure knee surgery is one that has had a fair bit of press regarding its value, the upshot of which is a large proportion of folks who had surgery are no better off than people with identical symptoms who had conservative treatment.
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I really hope the recently completed knee arthroscopy wasn’t a placebo. I view those as down payment on a total replacement.
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Any specific unproven surgeries typically still performed? For example, I had some stents inserted due to a blockage a few years ago. Possibly unnecessary?
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A fair point. We published a retrospective study examining the effect of surgery for primary
#hyperparathyroidism on fracture risk. It includes a sham surgery group - patients whose operations were unsuccessful in creating eucalcemia. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202028/ …pic.twitter.com/q7H26RxylY
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Thanks for posting! I will share this with my fellow psychiatry residents, as this point is universal. My field is definitely guilty of the same type of reasoning.
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I think it's fair game when something is shown to be ineffective and non-beneficial and them we just abandon it. But when evidence mounts and nothing changes, then we are in deep waters.https://mobile.twitter.com/AleksiReito/status/1293524513188196353 …
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Which paper are they talking about? I thought the evidence was pretty good for most surg onc and gen surg interventions these days- arthroscopies being a different matter...
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