Comments on: Evidence based medicine – misinterpreted and not sufficient http://www.medrants.com/archives/5146 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: #NotSoFunny – Ridiculing RCTs and EBM « Laika’s MedLibLog http://www.medrants.com/archives/5146/comment-page-1#comment-531262 #NotSoFunny – Ridiculing RCTs and EBM « Laika’s MedLibLog Mon, 01 Feb 2010 02:29:39 +0000 http://www.medrants.com/?p=5146#comment-531262 [...] Evidence based medicine – misinterpreted and not sufficient (medrants.com) [...] [...] Evidence based medicine – misinterpreted and not sufficient (medrants.com) [...]

]]> By: Isadora Roth http://www.medrants.com/archives/5146/comment-page-1#comment-530863 Isadora Roth Tue, 29 Dec 2009 07:13:06 +0000 http://www.medrants.com/?p=5146#comment-530863 I am a huge fan of evidence based medicine as it is science and makes sense.  In a recent argument with my sister, the economics grad student I was reminded of the reality of of publication bias, reminding me that even evidence can be flawed. I am a huge fan of evidence based medicine as it is science and makes sense.  In a recent argument with my sister, the economics grad student I was reminded of the reality of of publication bias, reminding me that even evidence can be flawed.

]]> By: Patrick http://www.medrants.com/archives/5146/comment-page-1#comment-530858 Patrick Sun, 27 Dec 2009 17:16:22 +0000 http://www.medrants.com/?p=5146#comment-530858 My word of caution regarding physiology, however, would be to never assume that understanding the physiology will lead to correct treatment.  Instead, physiology should be the starting point for studies.  The over-used but true example is that giving inotropes in CHF makes a lot of sense given the physiology.  Giving beta-blockers seems foolhardy.  In retrospect, beta-blockade does make sense, but it was only through the push for evidence-based practice that we discovered that. That said, your point is well taken that no study applies to all patients, and only by understanding physiology can we accurately apply evidence to the patient in front of us. My word of caution regarding physiology, however, would be to never assume that understanding the physiology will lead to correct treatment.  Instead, physiology should be the starting point for studies.  The over-used but true example is that giving inotropes in CHF makes a lot of sense given the physiology.  Giving beta-blockers seems foolhardy.  In retrospect, beta-blockade does make sense, but it was only through the push for evidence-based practice that we discovered that.

That said, your point is well taken that no study applies to all patients, and only by understanding physiology can we accurately apply evidence to the patient in front of us.

]]> By: DB's Medical Rants » Blog Archive » Evidence based medicine … | liliveev-Health|Beauty|Medicine|Weight Loss|Fitness http://www.medrants.com/archives/5146/comment-page-1#comment-530845 DB's Medical Rants » Blog Archive » Evidence based medicine … | liliveev-Health|Beauty|Medicine|Weight Loss|Fitness Sat, 26 Dec 2009 08:38:05 +0000 http://www.medrants.com/?p=5146#comment-530845 [...] here: DB's Medical Rants » Blog Archive » Evidence based medicine … December 25th, 2009 | Tags: chf, diuretic-therapy, for-every, knowing-the, knowing-the-physiology, [...] [...] here: DB's Medical Rants » Blog Archive » Evidence based medicine … December 25th, 2009 | Tags: chf, diuretic-therapy, for-every, knowing-the, knowing-the-physiology, [...]

]]> By: Twitted by medrants http://www.medrants.com/archives/5146/comment-page-1#comment-530843 Twitted by medrants Fri, 25 Dec 2009 20:25:07 +0000 http://www.medrants.com/?p=5146#comment-530843 [...] This post was Twitted by medrants [...] [...] This post was Twitted by medrants [...]

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