Dear Joel

I tend to agree with the basics. I do not look at any published data that
is over 7 years old without suspicion. The chances that the 'police were
investigating the police' are far too strong, and thus the known outcome.

I will get back to you as far as data soon. ( I may be not able to publish
for awhile)

I have been collecting data using the AQOL and VAS scales using athletes
(across all values and both sexes)and between several different races with
and without workers' compensation and motor vehicle accident claims.

The variation between the groups is quite remarkable.

Some never have a 10 out of 10 pain while other always have a 10 out of
ten every time one is asked.

Only today I had a patient tell me that their pain was more than 10/10 for
trapezial pain. This is not uncommon.

When one looks at the published data available, the patients/clients tend
to have have a homogenous grouping or there is a captive audience such as
pre and post hospital pain. In one study there is a marked difference
between the pre and post treatment pain scores.

The other studies only quote the simple data ( suceesful outcomes etc.),
not drop outs, why they dropped out, no pre study allocation etc.,
averaging versus median, chi squared variable, power, etc.

I do not have much faith when a patient tells you and indicates that they
have a 10/10 pain and 15 minutes later you see them walking down the
street without their walking stick etc.

There is a significant difference between fact and reality!
Regards,

Paul Conneely.

-----------------------------------------------------------------
This message was distributed by the Podiatry JISCmail list server

All opinions and assertions contained in this message are those of
the original author. The listowner(s) and the JISCmail service take
no responsibility for the content.

to leave the Podiatry email list send a message containing the text
leave podiatry
to [log in to unmask]

Please visit http://www.jiscmail.ac.uk for any further information
-----------------------------------------------------------------