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Almost 400 medical practices found ineffective in analysis of 3,000 studies
Medical XPress ^ | June 11, 2019 | eLife

Posted on 06/16/2019 5:12:11 PM PDT by ConservativeMind

Scientists have identified nearly 400 established medical practices that have been found to be ineffective by clinical studies published across three top medical journals.

Writing in the journal eLife, the team hope their findings will encourage the de-adoption of these practices, also known as medical reversals, ultimately making patient care more efficient and cost effective.

Medical reversals are practices that have been found to be no better than prior or lesser standards of care, through randomised controlled trials (RCTs: studies that aim to reduce certain types of bias when testing new treatments). But it can be difficult to identify these practices. For example, Cochrane Reviews provide high-quality evidence on medical practices, but only one practice is covered in each review and many have not been reviewed in this way. Additionally, the Choosing Wisely initiative in the US aims to maintain a list of low-value medical practices, but it relies on medical organisations to report them.

Cardiovascular disease was the most commonly represented medical category among the reversals (20%), followed by public health/preventive medicine (12%) and critical care (11%). In terms of the type of intervention, medication was the most common (33%), followed by a procedure (20%) and vitamins and/or supplements (13%).

“Once an ineffective practice is established, it may be difficult to convince practitioners to abandon its use. By aiming to test novel treatments rigorously before they become widespread, we can reduce the number of reversals in practice and prevent unnecessary harm to patients.

"Taken together, we hope our findings will help push medical professionals to evaluate their own practices critically and demand high-quality research before adopting a new practice in future, especially for those that are more expensive and/or aggressive than the current standard of care," concludes co-lead author Alyson Haslam, Ph.D., also at the OHSU Knight Cancer Institute.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: medicalpractice; medicine
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Doctors can be wrong and can be doing things to you that are not useful in any form. One example: When you have the flu and you see the doctor for a Tamiflu prescription, even if you show all the symptoms, they want to swab you to type it. The prescription is the same, regardless of flu strain. They tell you “the CDC wants to know.” However, the CDC doesn’t pay for it and you are charged $150+ to provide a civic good to the CDC. It isn’t helpful or required and it drives up your costs dramatically.

Refuse the flu swab or use Teledoc or some similar service. You pay $175 for the visit, $150 for the swab, and $100 for the Tamiflu. Imagine simply oaying $40 for Teledoc and $100 for the prescription.

Screw stupid doctors!

1 posted on 06/16/2019 5:12:11 PM PDT by ConservativeMind
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To: ConservativeMind

Does that mean we’re all gonna die?


2 posted on 06/16/2019 5:13:46 PM PDT by Sacajaweau
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To: ConservativeMind

Antibiotics for viruses?


3 posted on 06/16/2019 5:15:57 PM PDT by OldNewYork (Operation Wetback II, now with computers)
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To: ConservativeMind

Good example: flu shots - less than 50% effective.

Pushed like crazy.


4 posted on 06/16/2019 5:17:03 PM PDT by aMorePerfectUnion
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To: ConservativeMind

Sadly, not a surprise.

They think they have to do something, but it is not always helpful, sometimes it can even hurt, more than help. That is why people need to pay very careful attention, ask the doctors and pay close attention to how they are during the treatment and go back, if you feel and notice something not quite right.


5 posted on 06/16/2019 5:21:26 PM PDT by Innovative
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To: ConservativeMind

SSRI for mental issues....

Marijuana for everything else???

Clothing...emperor...none.


6 posted on 06/16/2019 5:22:49 PM PDT by fishtank (The denial of original sin is the root of liberalism.)
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To: ConservativeMind

There’s a reason the call it ‘practicing’...

Just sayin’


7 posted on 06/16/2019 5:24:38 PM PDT by PubliusMM (RKBA; a matter of fact, not opinion. Mr Trump, we've got your six.)
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To: ConservativeMind

Keeping those side shows going to juice the revenue stream...


8 posted on 06/16/2019 5:25:13 PM PDT by northislander
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To: Sacajaweau

I don’t want to answer that.


9 posted on 06/16/2019 5:26:10 PM PDT by MarvinStinson
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To: ConservativeMind

For some, Teledoc is a free service. Tamaflu co-pay isn’t very high either. win-win!


10 posted on 06/16/2019 5:27:18 PM PDT by Dogbert41 (When the strong man, fully armed, guards his own dwelling, his goods are safe. -Luke 11:21)
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To: ConservativeMind

They can have my colonoscopy when they pry it from my cold, dead....

ur...never mind.

(Hate’em, but they’re absolutely necessary.)


11 posted on 06/16/2019 5:28:04 PM PDT by moovova
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To: ConservativeMind

This probably goes double for all those pills the big-bureaucrat/big-pharmaceutical criminal complex peddles “as seen on TV.”

I have no intention of allowing them to turn the remainder of my life into a revenue stream.

People are supposed to get old and die. Throwing pills at ailments of aging will not change that.

My bet is people would live longer without them.


12 posted on 06/16/2019 5:30:11 PM PDT by E. Pluribus Unum (Capitalism produces EVERYTHING Socialists/Communists/Democratic-Socialists wish to "redistribute.")
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To: aMorePerfectUnion
I'm 71 and have never had a flu shot.

I've contracted (I never signed for it, why is it "contracted"?) the flu as an adult (over 30) twice or three times (not sure which)

Every time it started on Monday ... after Sunday church.

13 posted on 06/16/2019 5:31:25 PM PDT by knarf
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To: Innovative
Studies have shown, that customers/patients expect to be given “something” (most likely a script), not to make their health improve but more so to feel like they got their “money’s worth”.

Provided with a diagnosis and “get some rest, take plenty of fluids, and Tylenol if you have a fever” is not cutting it for the masses.

Ever notice how your doctor prescribes a “z-pack” during certain times of the year, no matter what the symptoms?

14 posted on 06/16/2019 5:32:37 PM PDT by NativeSon ( Grease the floor with Crisco when I dance the Disco)
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To: ConservativeMind

The article doesn’t say anything about Tamiflu or anything to support the example you just made up.

Don’t equate your Google search with a medical degree.


15 posted on 06/16/2019 5:32:57 PM PDT by bigbob (Trust Trump. Trust the Plan.)
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To: ConservativeMind
If they're getting their data from the governments electronic medical records stupid meaningful use data I wouldn't trust it.

That system is a waste of time and FUBAR. Typical fed.

The nine most terrifying words in the English language are, 'I'm from the government and I'm here to help

Ronald Reagan

16 posted on 06/16/2019 5:38:16 PM PDT by lizma2
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To: knarf
When you're 40 the flu is an annoyance...at 70 it can be lethal.
17 posted on 06/16/2019 5:41:03 PM PDT by Gay State Conservative (A joke: Comey,Brennan and Lynch walk into a Barr...)
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To: Sacajaweau

Yes. We are all going to die.


18 posted on 06/16/2019 5:43:02 PM PDT by Sgt_Schultze (When your business model depends on slave labor, you're always going to need more slaves.)
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To: NativeSon

“Ever notice how your doctor prescribes a “z-pack””

I think it started out as CYA with lawyers, now it’s CYA on YELP.


19 posted on 06/16/2019 5:43:29 PM PDT by lizma2
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To: NativeSon

I disagree. People want to make sure their doctor is paying attention and is helping them and get some medication to help, but not to just get anything.


20 posted on 06/16/2019 5:46:21 PM PDT by Innovative
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