ā€œEvidence-Based Medicineā€:Corrupted (California) (California

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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby LawAdvocate on Wed Oct 18, 2017 9:43 am

Logical fallacy.

Insurance companies are not being duped because they rely on bad EBM. They are being duped by physicians who don't rely on EBM. Total non-sequitir to the topic at hand.

FDA does not have the legal authority to do testing at all. It is not a big problem. The FDA consistently screws up more than it does well, I wouldn't rely on the FDA if my life depended on it, they are bought and sold by big business by the minute. Again, you know not what of you speak.

What you call scientific data is not scientific data, they are one time studies, that is not scientific data and this proves your grasp of what is science is limited. That is what you have posted, which again is doing harm, not benefit.
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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby injured7825 on Wed Oct 18, 2017 5:46 pm

LawAdvocate, I am curious about one of your statements, you stated " The definition of evidenced based medicine is that the results MUST be repeatable and reliable. "
Can you provide a link to that definition of EBM? I cannot find your definition anywhere on the net.
I am not trying to challenge you LawAdvocate, I am just trying to defend my on going claim. :?:
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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby LawAdvocate on Thu Oct 19, 2017 10:34 am

That is basic science and it goes to the validity of the EBM, so when you are using a study as evidence - reproducible results increases the validity of a scientific study, EBM or any other documentation/research using a scientific method.

This is a great article on the need for reproducibility:
http://www.pbs.org/wgbh/nova/next/body/ ... explainer/

So this is a good source where you can get a basic outline as to the study design, statistics and levels of evidence (there are generally hierarchies of evidence depending on the field - medical, legal, etc.) :
http://library.downstate.edu/EBM2/2100.htm

This is an EBM toolkit and the first arrow has a choice for finding evidence for best practice:
http://www.ebm.med.ualberta.ca/ebm.html

This tool you will note distills the evidence done to key categories - noting the sources which sort evidence for you:


2. Synthesized Sources

Synthesized sources are collections of the best available evidence to support practice. The information is often distilled into very accessible formats for the clinician.

a. Cochrane Library (Cochrane Reviews, DARE)
b. Clinical Practice Guidelines
i. National Guideline Clearing House http://www.guideline.gov
ii. Prodigy Guidance http://www.prodigy.nhs.uk

c. Point of Care Resources (Collections of Questions and Answers)

i. ACP Pier
ii. Clinical Evidence
iii. InfoPOEMS (via CMA)
iv. BestBETS
v. Dynamed

d. TextBooks

i. E-Medicine
ii. Other Textbooks-- many textbooks are online; some are in sets such as STAT!Ref, MS Consult, Access Medicine and Books@Ovid, check these resources for explicit references and check the references for clinical research
iii. UpToDate-- personal subscription required

e. Bandolier http://jr2.ox.ac.uk/bandolier
Both succinct systematic reviews on clinical topics and an excellent source of clearly written information on evidence-based medicine, medical statistics, e

3. Filtered Sources

Filtered sources are sources whose contents have been pre-selected or pre-appraised for their quality.

a. Cochrane Registry of Controlled Trials (in Cochrane Library)

b. Evidence-based Medicine--expansion of ACP Journal CLub to include peds, surgery, o & g, etc.

4. Unfiltered Sources

Unfiltered sources are large databases of articles that have not been preescreened for quality. The searcher must filter out the results that do not meet their requirements using either specific vocabulary terms of pre-formulated searches or terms by the database.
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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby injured7825 on Thu Oct 19, 2017 7:22 pm

I've had a chance to look over the info and googled EBM but nowhere can I find the word must be repeatable and reliable, the definition I can find for EBM is this, "Evidence-based medicine is the conscientious explicit and judicious use of current best evidence in making decisions about the care of individual patients." If your definition held true it possibly might have help me in my claim, still thanks for all the info you posted, it was educational if anything else.
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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby LawAdvocate on Fri Oct 20, 2017 9:06 am

The best evidence is in fact repeatable and reliable...you have to define the terms within the context of what is best evidence. You can't just rely on each definition to list every aspect of what is included within the definition.

You are relying on a summary statement, not all of the working parts of the statement.
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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby 4anewusers on Fri Oct 20, 2017 11:27 am

LawAdvocate wrote:That is basic science and it goes to the validity of the EBM, so when you are using a study as evidence - reproducible results increases the validity of a scientific study, EBM or any other documentation/research using a scientific method.

This is a great article on the need for reproducibility:
http://www.pbs.org/wgbh/nova/next/body/ ... explainer/

.


When someone spends their time arguing on a forum on how reliable evidence based medicine is, and then posts a reference link that shows it is often times not reliable and corrupted, the entire point of my original post. Oh I needed a laugh today. Thank you!
Patient Advocate for medical device safety and ethics. ā€¢Modern medicine offers important benefits, yet it also has the capacity to cause harm;ā€¢Those harms arise from three central failings: the overuse, underuse, and misuse of medical services.
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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby 4anewusers on Fri Oct 20, 2017 11:31 am

https://www.ncbi.nlm.nih.gov/pubmed/21631765

This is an interesting analysis on Cochrane group and others.
Patient Advocate for medical device safety and ethics. ā€¢Modern medicine offers important benefits, yet it also has the capacity to cause harm;ā€¢Those harms arise from three central failings: the overuse, underuse, and misuse of medical services.
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Re: ā€œEvidence-Based Medicineā€:Corrupted (California) (California

Postby LawAdvocate on Fri Oct 20, 2017 12:31 pm

I was talking about actual evidence based medicine in my argument, not junk science like you have posted. The article highlights exactly why what you post is garbage and is immaterial. Go read it in context.

NCBI posts more junk science than anyone else. It is an unfiltered and is not a reliable source for any entity who looks for reading it in context.
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