Results for: publication bias
Research, Minus Science, Equals Gossip
“A person is smart. People are stupid.” – Agent K (Tommy Lee Jones), Men In Black Regular readers of my blog know how passionate I am about protecting the public from misleading health information. I have witnessed first-hand many well-meaning attempts to “empower consumers” with Web 2.0 tools. Unfortunately, they were designed without a clear understanding of the scientific method, basic statistics,...
The Alleged Autism Epidemic
It is without controversy that the number of autism diagnoses being made is on the rise. In 1991 there were about 6 cases per 10,000 births, and in 2001 there were about 42. This number continues to rise at about the same rate. The cause of this rise, however, is very controversial. There are basically two schools of thought: 1 – that...
Christine Maggiore and Eliza Jane Scovill: Living and dying with HIV/AIDS denialism
On Science-Based Medicine, we strive to apply the light of science and reason on all manner of unscientific belief systems about medicine. For the most part, but by no means exclusively, we have concentrated on so-called “complementary and alternative medicine” (CAM) because there is an active movement to infiltrate faith-based, rather than science-based, modalities into “conventional” medicine. Indeed, such efforts are well-financed,...
AARP and Alternative Medicine
I know I said the next entry would be about the efficacy of the influenza vaccine. The road to blogging in paved with good intentions. I will eventually write that entry, but the ADD has kicked in and my attention has wandered elsewhere. I am 51 and one of the benefits of this advanced age is you get to join AARP, the...
“Battlefield acupuncture”?
THE SCENE: Iraq, Afghanistan, or anywhere where U.S. troops are risking life and limb. THE TIME: The not-too-distant-future. Maybe even 2009. Joe is on patrol. It’s the middle of summer in the desert town. The air hangs heavy, hot, dry and dusty, like a blast furnace firing steel. The heat penetrates Joe’s 80 lb pack in much the same way the heat...
Google Trends and the Interest in Alternative Medicine
USA Today has come out with a new survey – apparently, three out of every four people make up 75% of the population. –David Letterman How popular is alternative medicine? One way is to survey people and ask them. Like all surveys, the nature of the question determines the answer. The first, and probably most referenced, and misquoted, article on ‘alternative’ medicine...
Open-Access Peer Review: Increasing the Noise To Signal Ratio
Readers of Science Based Medicine are quite familiar with the distressingly common logical leap made by disgruntled healthcare consumers into alternative medicine. It goes something like this: I had a terrible experience with a doctor who [ignored/patronized/misdiagnosed] me and I also heard something horrible in the media about a pharmaceutical company’s misbehavior [hiding negative results/overstating efficacy/overcharging for medications], therefore alternative treatments [homeopathy/acupuncture/energy...
Statins Are Better on JUPITER
Over 26 million Americans are taking statin drugs. Some people think they should be available over-the-counter without a prescription, and it has even been facetiously suggested that they should be added to our drinking water. The protective effect of statins in cardiovascular disease and in high-risk patients with high cholesterol levels is well established. But what about people with no heart disease...
Circumcision: What Does Science Say?
There are no compelling scientific arguments for or against neonatal circumcision. Benefits and risks are, scientifically speaking, small. However, the nonscientific arguments for and against circumcision are loud, and often irrational.
“Urban Zen” and homeopathy at Beth Israel Medical Center, or: Dr. Gorski destroys his chances of ever being invited to join the faculty at BIMC or the Albert Einstein College of Medicine
I guess I never really wanted to work in Manhattan anyway. At least, that’s what I keep telling myself. I mean, why on earth would I want to? What’s the attraction? Living in the heart of it all, all those shows and all those amazing cultural activities, all those world-class restaurants? Being close to Boston, Philadelphia, and other cool East Coast cities,...