tag:blogger.com,1999:blog-8265610523848789127.post4003405436727119122..comments2023-10-12T03:27:57.081-06:00Comments on BIOSYNTRX BLOG: Evidence-based Medicine QuestionsEllen Troyer, MT MAhttp://www.blogger.com/profile/00352758665225233448noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-8265610523848789127.post-2831792519395665172007-08-07T15:44:00.000-06:002007-08-07T15:44:00.000-06:00Hey Anonymous,Really like your thoughts on evidenc...Hey Anonymous,<BR/><BR/>Really like your thoughts on evidence-based medicine. Who are you?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8265610523848789127.post-87111152587068852012007-08-07T08:25:00.000-06:002007-08-07T08:25:00.000-06:00My 40 years of experience counts for a lot, so scr...My 40 years of experience counts for a lot, so screw evidence-based medicine! <BR/><BR/>Here's the real evidence: if your patient gets better, your treatment worked. If your patient gets worse, your treatment was probably wrong. Or, you've misdiagnosed and it's time to admit it and start all over.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8265610523848789127.post-60994258114534710962007-07-31T14:27:00.000-06:002007-07-31T14:27:00.000-06:00Carmindy, I'm not entirely sure I understand your ...Carmindy, I'm not entirely sure I understand your comment. <BR/><BR/>The subjects in medical clinical trials are not isolated, and side effects are monitored during the trial period, and if the study was large and long enough, the data collected are mined by many other scientists who are looking for a flaw in the original study design. <BR/> <BR/>Randomized controlled trials, the holy grail of medical research, certainly take the top seat category in evidence-based medicine - justified or not in the area of nutritional medicine.<BR/><BR/>Systematic reviews of the literature takes the second seat category, and unfortunately there are comparatively few well-designed studies published on nutritional therapy vs. pharmaceutical therapy, although that area is certainly changing, as disease prevention becomes an absolute financial necessity for the majority of Americans. <BR/><BR/>The third evedence-based category is both medical and consumer driven evidence that centers around patient satisfaction and other obvious questions like:<BR/><BR/>1. Did the patient get better or worse with the therapy?<BR/>2. Does the therapy change clinical markers associated with a disease process?<BR/>3. Was the therapy cost effective?<BR/>4. Is the treatment useful in the medical practice?<BR/>5. Is the therapy appearing to prevent or slow down the disease progression?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8265610523848789127.post-42052276003057901902007-07-31T12:03:00.000-06:002007-07-31T12:03:00.000-06:00You know; I have always wondered about clinical tr...You know; I have always wondered about clinical trials. We all (at some point during our high school education)learned how a hypothesis becomes a theory; but how do you control so many variables in the real world? Can you really isolate that many test individuals for a long enough timer period to correctly identify all side effects? Makes you wonder ... What really happens 10 or 15 years down the road?Anonymousnoreply@blogger.com