evidence-based medicine

Reading an excellent article that describes the many problems with evidence-based medicine, I noticed there isn't really a discussion on the forum of the Evidence-Based Medicine (EBM) paradigm. It's discussed indirectly pretty much all over the forum, but it certainly deserves a more directed...

Effectiveness of in-group versus individually administered pain neuroscience education on clinical and psychosocial outcomes in patients with chronic low back pain: randomized controlled study protocol https://peerj.com/articles/17507/ Objective (1) This trial will compare the clinical and...

I hope to keep discussion strictly on the methodology aspect, but I noticed how many of the issues overlap with the general problem of evidence-based medicine, the arbitrary application of standards, seemingly based entirely on preferences, and how very low quality evidence can influence real...

Full title: Adapt or die: how the pandemic made the shift from EBM to EBM+ more urgent Authors: Trisha Greenhalgh, David Fisman, Danielle J Cane, Matthew Oliver, Chandini Raina Macintyre Open access: https://ebm.bmj.com/content/early/2022/07/19/bmjebm-2022-111952 (Paragraphs mine for...

Moss-Morris also an author Abstract Objective Around 30% of people with long-term physical health conditions (LTCs) experience comorbid anxiety and depression. For many, comorbid distress is linked to difficulties adjusting to the challenges of the LTC. The aims of this article are to present...

World EBHC Day launches campaign to address global health challenges through partnerships for purpose https://www.cochrane.org/news/world-ebhc-day-launches-campaign-address-global-health-challenges-through-partnerships-purpose

Full title: Most healthcare interventions tested in Cochrane Reviews are not effective according to high quality evidence: a systematic review and meta-analysis https://www.sciencedirect.com/science/article/abs/pii/S0895435622001007 Highlights • In this large sample of 1567 interventions...

Abstract Intuition is a decision-making method that is used unconsciously by experienced practitioners but is inaccessible to the novice. It is rapid, subtle, contextual, and does not follow simple, cause-and-effect logic. Evidence-based medicine offers exciting opportunities_for improving...

They have no idea how deep this goes. Small study hints that interference from bodies funding research into public-health issues such as nutrition and exercise might be more common than realized. https://www.nature.com/articles/d41586-021-02242-x A survey of public-health researchers has...

This article although not about ME/CFS has been cited in a number of papers: Citations of: Evidence-Based Practice and Psychological Treatments: The Imperatives of Informed Consent https://philarchive.org/citations/BLEEPA https://www.frontiersin.org/articles/10.3389/fpsyg.2016.01170/full

https://www.healthaffairs.org/do/10.1377/hblog20210514.425704/full/

The methodological quality of 176,620 randomized controlled trials published between 1966 and 2018 reveals a positive trend but also an urgent need for improvement Christiaan H. Vinkers, Herm J. Lamberink, Joeri K. Tijdink, Pauline Heus, Lex Bouter, Paul Glasziou, David Moher, Johanna A. Damen...

Key Points Question Do practitioners understand the probability of common clinical diagnoses? Findings In this survey study of 553 practitioners performing primary care, respondents overestimated the probability of diagnosis before and after testing. This posttest overestimation was...

Background Despite evidence of selective outcome reporting across multiple disciplines, this has not yet been assessed in trials studying the effects of exercise in people with cancer. Therefore, the purpose of our study was to explore prospectively registered randomised controlled trials (RCTs)...

This post has been copied and following posts copied or moved from this thread: News from Australia I found this thought provoking - how do we get more understanding? The dilemma for medical professionals This programme highlighted for me the dilemma that medical professionals have. They need...

Anjum RL, Copeland S, Rocca E, Medical scientists and philosophers worldwide appeal to EBM to expand the notion of ‘evidence’, BMJ Evidence-Based Medicine 2020;25:6-8, https://ebm.bmj.com/content/25/1/6 Signatories include Greenhalgh and Wyller. [...] More joint publications by 'Cause...

CFS/ME National Services Survey Feb 2018 Snap shot audit BACME National Services Workstream Report Published March 2019 https://www.bacme.info/sites/bacme.info/files/BACME CFS ME National services survey March19.pdf

Challenging the Cognitive Behavioural Therapies: The Overselling of CBT's Evidence Base Jonathan Shedler - Where is the Evidence for Evidence-Based Therapy? 23 Jan 2015 very interesting talk; many parallels with PACE. shows that CBT in fact has very little evidence to support it for any...

I would like to send the following proposal to ME Action, as it is currently in the process of specifying its core values and principles. I’m inviting other ME/CFS advocates and members of ME/CFS community to co-sign the statement if they agree with the proposal. I prefer to make the statement...

I've started this thread for discussions regarding the methodological issues and efficacy of the IAPT treatment model. In particular the move to treat 'CFS/ME' as a MUS that can be referred for IAPT CBT/GET treatment is now highly relevant to the ME/CFS NICE guideline.