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Preoperative cognitive-behavioural intervention improves in-hospital mobilisation and analgesic use for lumbar spinal fusion patients, 2020

Discussion in 'Health News and Research unrelated to ME/CFS' started by rvallee, Jan 6, 2021.

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  1. rvallee

    rvallee Senior Member (Voting Rights)

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    Preoperative cognitive-behavioural intervention improves in-hospital mobilisation and analgesic use for lumbar spinal fusion patients

    https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-016-1078-8

    Shows no improvement and yet they still conclude it did improve things by rating irrelevant things. EBM is intellectually bankrupt. It shows no improvement and still the title of the paper is that it shows improvement. This field is 99% marketing. It even includes a purely speculative opinion about what may be happening. WTH?
     
  2. shak8

    shak8 Senior Member (Voting Rights)

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    Hmm. A lot of spinal surgery is unnecessary with no improvement in pain scores. Of course, that is not what the study 'studies.'
     
    alktipping and Peter Trewhitt like this.
  3. Mithriel

    Mithriel Senior Member (Voting Rights)

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    After orthopaedic surgery, many patients are reluctant to take adequate pain relief. When it is explained to them that taking pain killers will help them to move which will speed up their recovery so they will end up needing less analgesia in the long run they usually take what is prescribed.

    This is most likely the effect they are picking up. No need for fancy theories just an explanation to the patient by medical staff and simple biology.
     

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