Dear All
Jin-Ling Tang is coordinating a book on EBM for China and wanted to
include a list of examples where practice conflicts with the evidence.
See the message below. It would be helpful if you could give reference
to the evidence *and* the data on practice.
Can you please post to Jon-Ling at:
[log in to unmask]
And he will compile and send back to the list,
Best Wishes
Paul Glasziou
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Dear all,
We are interested to collect any examples of good research findings
conflicting with current practice in various areas of health care
practice such
as etiology, diagnosis, treatment, prognosis, monitoring, policy and
screening.
The examples of such examples are human albumin administration in critically
ill patients (BMJ 1998;317:235-40), the review of randomized evidence on
DOTS
for treatment tuberculosis, and lidocaine for ventricular fibrillation after
acute myocardial infarction, and vitamin E for cancer prevention.
We are aware of few examples in areas other than treatments. So we
particularly welcome examples in areas etiology, diagnosis, prognosis,
monitoring, policy and screening.
Is anyone aware of the reference of the early study on identifying children
who need tonsillectomy in which every time some 25% of children were
diagnosed
to need it.
Are there any good examples that findings from laboratory research are used
to guide clinical practice and caused serious problems?
Please give references for your examples if you can.
I would appreciate any examples you may come up with.
Best wishes,
Jin Ling
++++++++++++++++++++++++++++++++++++++++++++++++++
Jin-Ling Tang MD MSc PhD FFPU(UK)
Associate Director and Professor of Epidemiology
School of Public Health and Primary Care
The Chinese University of Hong Kong
School of Public Health Building
Prince of Wales Hospital, Shatin
New Territories, Hong Kong
Tel: +852-2252 8779
Fax: +852-2606 3500
Web: http://www.sph.cuhk.edu.hk/cms/
--
Paul Glasziou
Director, Centre for Evidence-Based Medicine,
Department of Primary Health Care,
University of Oxford www.cebm.net
ph - +44-1865-289298 fax +44-1865-289287
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