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I do not understand what the big deal is: CDC decisions/recommendations have never been based on the totality of evidence just a selection of the "right" evidence or fanciful models. Trump's diktat is e recognition of reality, so they can drop pretending. Good news I'd say.

Tom



Inviato dal mio dispositivo Samsung


-------- Messaggio originale --------
Da: Brian Alper MD <[log in to unmask]>
Data: 17/12/2017 12:50 (GMT+01:00)
A: [log in to unmask]
Oggetto: Re: US CDC bans using the word "evidence-based" among others

Perhaps we should be "evidence-based" before responding or we risk acting on "fake news" that match our biases.

Someone in a CDC meeting told a group not to use certain terms when preparing a budget document.

Is there any evidence this came from "higher up" and if so what was being requested or directed from sources external to the CDC?   By the time you have a person in the meeting (anonymous so we do not know that person's role, degree of understanding, or biases) tell the story to a reporter who then writes a story which may take a spin to get attention you may really lose the facts.

The Washington Post article starts with "The Trump administration is prohibiting ..." but the article quotes a Department of Health and Human Services spokesman (the part of the Trump administration that oversees the CDC) without ever stating whether HHS was involved or aware of this so-called prohibition of terms. It never establishes who is making the alleged prohibition of terms.

If the real source is an opinion within the CDC for how to facilitate the presentation of budget documents for more rapid approval AND there is no "Trump administration" direction involved BUT people react trying to take action against the Trump administration for this perceived insult THEN the next headline can be the evidence-based community cannot be trusted to act based on evidence, and you won't be listened to when there is time for important dialog.

Brian S. Alper, MD, MSPH, FAAFP
Founder of DynaMed
Vice President of Innovations and Evidence-Based Medicine Development, EBSCO Health
[log in to unmask]
Mission: Provide the most useful support for healthcare decision-making
"It only takes a pebble to start an avalanche."
Thought for the moment: What will it take to make Evidence Based Medicine PATIENT BASED MEDICINE? ...  



-----Original Message-----
From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of Vasiliy Vlassov
Sent: Sunday, December 17, 2017 4:13 AM
To: [log in to unmask]
Subject: Re: US CDC bans using the word "evidence-based" among others

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Dear all,

I would also add, trying to be on the positive side:

that the other wording instead of 'evidence based' is offered, and it is not a total bullshit. Probably this ' advise' is kind of efforts to limit the use of the buzzwords.

I personally should be pleased to have banned: '4P', 'real world data', 'big data', 'value based'

;-)

Vasya


On 2017-12-17 11:59, Neil Pakenham-Walsh wrote:
> Dear all,
>
> The facts appear (for the moment) to be more nuanced (although still
> outrageous) than an official total ban.
>
> The Business Insider says the 'CDC was reportedly told not to use
> seven specific words and phrases in its federal budget-proposal
> documents':
> http://uk.businessinsider.com/trump-administration-banned-7-words-and-
> phrases-from-cdc-documents-2017-12
>
>
> The information comes from a (named) CDC staffer and there appears to
> be no corroboration from the White House/Government. The Business
> Insider article notes that no official directive has been issued to
> the CDC's staff. Also, it says the revision to some of the terms
> (including 'evidence-based') was communicated verbally (and presumably
> not in writing).
>
> reportedly... from a CDC staffer...  told verbally... in relation to
> specific documents...
>
> Further clarification is needed and will hopefully emerge over the
> coming days.
>
> Best wishes, Neil
>
> ///
>

--
\/.\/.\/.

Vasiliy V. Vlassov, MD
Professor, National Research University Higher School of Economics
e-mail: vlassov[a t]cochrane.ru
Web page https://www.hse.ru/en/org/persons/14527416
snail mail: P.O.Box 13 Moscow 109451 Russia Phone Russia +7(965)2511021

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