evidence based medicine

QOF Fiasco 2: ’Immoral’ refusal to learn from mistakes

7 by / on 28 May 2018, / in evidence based medicine

By Jerome Burne Last week I […]

The great QOF fiasco. The untold story of the biggest public health experiment ever and how its failure was ignored.

10 by / on 14 May 2018, / in evidence based medicine, lifestyle medicine

By Jerome Burne The results of […]

Medicine’s democratic deficit. Time for middle-aged, white, privileged males to move over

37 by / on 7 Aug 2017, / in evidence based medicine

It’s hardly news that things have not been going well for various professional elites lately. Economists so busy promoting the neo-liberal agenda they failed to notice the on-coming depression; politicians resolutely deaf to constituents’ complaints that generosity to those at the top had destroyed jobs and cut wages at the bottom.

Diet war veterans last stand. Recent saturated fat attack a blast from the past

14 by / on 23 Jun 2017, / in evidence based medicine, low fat diet

Last week a ‘Presidential Advisory Statement’ about saturated fat from the American Heart Association (AHA) produced a ‘you cannot be serious’ reaction from anyone who has looked at the evidence for the theory that saturated fat raises the risk of heart disease.

Evidence based medicine: failing to find the truth about diets

15 by / on 27 Jan 2017, / in evidence based medicine

A fine example of post truth and alternative facts appeared in the Guardian on Monday. Defining any diet that made a medical claim as a fad, the article consigned them all to the bin.

Treating serious vitamin B12 deficiency: a case of risk-benefit balancing gone mad

23 by / on 17 Oct 2016, / in evidence based medicine

Have you heard about the NHS trust that recently introduced an incredibly brutal, and possibly illegal, form of drug rationing to save money? Patients suffering post -operative pain will get half the dose normally required to keep them comfortable, kidney dialysis will be done twice a week rather than three and all diabetics will get the same amount of daily insulin regardless of their blood sugar levels.

The serious trust deficiency afflicting medical advice and what to do about it

27 by / on 8 Oct 2016, / in evidence based medicine

Trust me I’m a doctor has become a knowing, cynical catch-phrase but the underlying truth is that we do need to trust our doctors, not only because trusted doctors exert a beneficial healing effect but also because we are entrusting them with something precious – our health.

Independent investigation reveals NICE approved treatment only a fraction as effective as experts claim it is.

46 by / on 26 Sep 2016, / in evidence based medicine

Would any doctor continue to prescribe a drug which they had been told would benefit 20 per cent of patients with a specific illness, once the truth was revealed to be around 7 per cent, only one percent better than no treatment at all? You’d have to hope not and that concerned and angry doctors would then shout loudly that they had been lied to and that patients had endured years of pointless treatment.

Why are menopausal women still getting a form of HRT that’s clearly linked to cancer? There is an alternative

3 by / on 2 Sep 2016, / in evidence based medicine

So, women who take HRT to help with symptoms of the menopause have a three times greater risk of developing breast cancer, according to a paper in the British Journal of Cancer published a couple of weeks ago. That’s certainly alarming news if you are approaching or going through menopause but it should really not come as a great surprise. The issue of HRT and cancer has been rumbling away for over a decade.

Radical doctors throw away rule book to beat diabetes and obesity

11 by / on 22 Aug 2016, / in evidence based medicine

A small but remarkable trial of the effects that a change of lifestyle can have on diabetes and obesity has just been published in the relatively obscure SAMJ (South African Medical Journal).

The results are impressive and the implications ground breaking. The starting point is that the official ‘evidence based’, low fat, calories-in equals calories-out approach isn’t working.

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