Hi
Thanks
Yes - I agree the old examples are tired and we need new -
Progesterone for menorrhagia
Martin
On 11 Jun 2010, at 07:52, Paul Glasziou wrote:
> Dear Martin & Richard
> I think a more systematic study would be a nice idea! But this current
> request is to garner examples for *teaching*: to illustrate how
> treatments can rise (and hopefully fall) despite weak evidence. I think
> many of us use the same (now tired) examples, such as flecainide and
> HRT, and some newer ones would be helpful - both to save us from
> boredom, but also to illustrate that it still happens. For example, the
> nesiritide is a good example from this century, with the rise and fall
> happening in the last decade. Also, its helpful to have examples from a
> range of areas.
> The references to the definitive evidence (plus any supplementary
> articles) would be very helpful - thanks!
> I'll post the full list of suggestions on Monday.
> Paul Glasziou
>
> Richard Nicholl wrote:
>> agree..
>> correct me if wrong ( I am merely a neonatal paediatrician) BUT I
>> believe there /is/ a _treatment effect_ for
>> high dose Vit C and cold ( reduces length of symptoms)
>> antiobiotics and SORE THROAT (as opossed to "common cold"- whatever
>> that is....people may want rid of their symptoms rather than their
>> diagnostic label)
>> I think folk should provide references to justify their (negative)
>> evidence, including me but I am between pts in outpatients!
>> interesting idea though...will try to get some paediatric ones
>>
>> ------------------------------------------------------------------------
>> *From:* Evidence based health (EBH) on behalf of Martin Dawes, Dr.
>> *Sent:* Fri 11/06/2010 12:01
>> *To:* [log in to unmask]
>> *Subject:* Re: Popular but ineffective treatment?
>>
>> what worries me about this is the highly anecdotal way it is happening
>> What about taking this methodically
>> looking at the top 100 prescriptions, and the top 100 over the counter
>> medications, and the top 100 mechanical Txs (ultrasound for example)
>> and assessing them?
>> Martin
>>
>>
>> On 11 Jun 2010, at 02:33, Lubna Al-Ansary wrote:
>>
>> Bed rest for acute back pain
>> Routine D & C for missed abortion
>> Lidocaine for arrythmia post MI
>>
>>
>> Sent from my iPod
>> Dr Lubna Al-Ansary
>>
>> Begin forwarded message:
>>
>> From: Tom Jefferson
>> <[log in to unmask]<mailto:[log in to unmask]>>
>> Date: ١١ يونيو، ٢٠١٠ GMT+٠٣:٠٠ ٩:٠٢:٥٤ ص
>> To: <mailto:[log in to unmask]>
>> [log in to unmask]<mailto:[log in to unmask]>
>> Subject: Re: Popular but ineffective treatments?
>> Reply-To: Tom Jefferson
>> <[log in to unmask]<mailto:[log in to unmask]>>
>>
>> Vit C for the commom cold (you have to take tons of the stuff and then
>> you get gallstones because of bile low PH) - poor Linus Pauling
>>
>> On 11 June 2010 07:58, Bruce Arroll
>> <<mailto:[log in to unmask]>[log in to unmask]<mailto:[log in to unmask]>>
>> wrote:
>> Dear paul and chris
>>
>> Cough suppressants for the common cold (a billion dollar industry)
>> Antibiotics for the acute common cold
>> Routine episiotomy in low risk pregnancies
>>
>>
>> bruce
>>
>> -----Original Message-----
>> From: Evidence based health (EBH)
>> [mailto:<mailto:[log in to unmask]>[log in to unmask]<mailto:[log in to unmask]>]
>> On Behalf Of Chris Del Mar
>> Sent: Friday, 11 June 2010 12:23 p.m.
>> To: <mailto:[log in to unmask]>
>> [log in to unmask]<mailto:[log in to unmask]>
>> Subject: Re: Popular but ineffective treatments?
>>
>> Paul
>>
>> 1 tidying lavage arthroscopy for OA knee
>> 2 vertebroplasty for painful osteoporotic vertebral fractures
>> (Buchbinder R, N Engl J Med 2009;361:557-68)
>>
>> Chris
>>
>> -----Original Message-----
>> From: Evidence based health (EBH)
>> [mailto:<mailto:[log in to unmask]>[log in to unmask]<mailto:[log in to unmask]>]
>> On Behalf Of Paul Glasziou
>> Sent: Friday, 11 June 2010 12:31 AM
>> To: <mailto:[log in to unmask]>
>> [log in to unmask]<mailto:[log in to unmask]>
>> Subject: Popular but ineffective treatments?
>>
>> Dear All
>> Following the influenza discussion, I wanted to ask for ideas of
>> treatments that became (or are) popular but where evidence showed them
>> ineffective.
>> For example,
>> 1. Autologous bone marrow transplantation for breast cancer
>> 2. Evening primrose oil for menstrual symptoms
>> 3. Neuroblastoma screening in infants
>> 4. HRT for prevention of CVD in menopause
>> These examples are from Testing Treatments which is downloadable (free
>> pdf!) at:
>> <http://www.jameslindlibrary.org/testing-treatments.html>http://www.jameslindlibrary.org/testing-treatments.html
>> The book is being updated, and we are looking for new examples.
>> I will compile the list and send to everyone.
>> If you can include the reference (or clues to it) I'd be grateful
>> Many thanks
>> Paul Glasziou,
>> CEBM
>>
>>
>>
>> --
>> Dr Tom Jefferson
>> Scientific Editor PLoS ONE
>> Reviewer, Cochrane Acute Respiratory Infections Group
>> tel 0039 3292025051
>>
>>
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