James Coynes is a professor of psychology who has dedicated an important part of his research field in denouncing the flawed evidence based medicine applied to the psychology practice. His writings in PLOs blog are an example of the critical appraisal we all should exercercise when we read such advertisements as “evidence supported”.
Here bellows is a link toward his posts in PLOs blogs:
Here below is a link toward an interesting talk which occurred at the 20th Cochrane Coloquium in New Zealand between September 30th and October 3rd of 2012.
More videos of the conference are available here
Cochrane reviews constitute a precious mean of disseminating the findings of the research in medicine. They pave the way for more evidence-based medicine in the practice of care.
- Cochrane Review finds no benefit from routine health checks (engineeringevil.com)
- No Value in Any Influenza Vaccine: Cochrane Collaboration Study (gaia-health.com)
- ‘Evidence-Based’ Medicine: A Coin’s Flip Worth of Certainty (activistpost.com)
- Cochrane Review finds no benefit from routine health checks (medicalxpress.com)
CER or Comparative Effectiveness Research has its defenders and its contradictors.
But first of all, what is the CER?
CER typically products guidelines issued from the comparison of respective harms and benefits of medicines or techniques of cure already marketed and used routinely by health care providers.
Defenders argue that this is the core of an evidence based medicine. Guidelines will save a lot of money by showing the best way to cure efficiently.
Contradictors estimate that this is the best way to sterilise the research and the development of new molecules and new procedures of treatment given that guidelines strictly forbid practitioners to welcome new therapies. Since guidelines decide the best state of the art, why care givers should worry and take the risk to try new therapies?
Beside there is the question of the quality of CER and of its independence with regard of the pharmaceutical industry. We have to keep in mind that independence with regard of industry is not automatically a warrant of quality because industry possesses a real research and development capacity.
If you want to read more on the topic of CER:
- Cleveland Clinic CEO: Comparative effectiveness will ‘chill’ innovation (medcitynews.com)
- On writing a talk about CER and PCMH (medrants.com)
Look at this incredible video. The man who is talking is a medical practitioner who has become an epidemiologist. He belongs to a Cochrane group. The Cochrane groups chase false evidence-based medicine by reviewing all the published studies on a particular public health issue (like preventive behaviors, cancer screening, pharmaceutical industry lobbying and so on). It’s an awesome one man show made by a Doctor!
Vodpod videos no longer available.
- How do we battle bad science? (laurieanichols.wordpress.com)
- What eight years of writing the Bad Science column have taught me | Ben Goldacre (guardian.co.uk)
- Bad Science (justwritewhite.wordpress.com)