I heartily agree with the remarks by Toby Lipman. I sometimes wonder if the things
disseminated by our health authority show a lack of, or financially biased application
of, any critical appraisal skills.
I have found some consultants (and psychologists) can be rather unhappy if one
mentions 'evidence', unless of course they are pointing out the landmark trial
one has failed to implement in the practice!
How does one tell a patient that the operation they have been offered should
only be done as part of an RCT according to latest Cochrane review when they
have adjusted to the situation and signed the consent form?
Kyran Farrell
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