Last week, I wrote about factors that lead to the premature adoption of surgical technologies and procedures, the “bandwagon” or “fad” effect among surgeons, if you will. By “premature,” I am referring to widespread adoption “in the trenches,” so to speak, of a procedure before good quality evidence from science and clinical trials show it […]
Category: Clinical trials
“Detoxification.” Whenever I hear that term, I’m at least 90% certain that I’m dealing with seriously unscientific woo. The reason should be obvious to longtime readers of this blog or to anyone who has followed “alternative medicine” for a while, because “detoxification” is a mainstay of “alternative” treatments and quackery for such a wide variety […]
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In science- and evidence-based medicine, the evaluation of surgical procedures represents a unique challenge that is qualitatively different from the challenges in medical specialties. Perhaps the most daunting of these challenges is that it is often either logistically impossible or unethical to do the gold-standard clinical trial, a double-blind, randomized placebo trial, to test the […]
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I’ve lamented time and time again just how much money the National Center for Complementary and Alternative Medicine (NCCAM) wastes on basic research and clinical trials of modalities that are, from a scientific viewpoint, so highly implausible that the chances of finding a clinically useful or relevant–or even a consistent statistically significant–effect (for example, homeopathy […]
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Yet another dubious study has been making the rounds of mercury militia websites and discussion forums. The study is being played up and touted by certain very excitable and scientifically not-too-bright militia members and woo-meisters like Mike Adams as some sort of vindication of the scientifically discredited hypothesis that mercury in vaccines somehow causes autism. […]
