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BMJ Editor's Choice: Evidence based medicine: flawed system but still the best we’ve got

Discussion in 'Other Health News and Research' started by Firestormm, Jan 23, 2014.

  1. Firestormm

    Firestormm Guest

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  2. alex3619

    alex3619 Senior Member

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    EBM is like finding a good hammer in your tool box. Its so good you hammer all the nails in, then the screws, then start on the bolts. Its not evidence based principles that are the problem, its the limits to evidence based medicine, and the purpose to which many vested interests put it. Its still too immature a discipline, and definitely not a science, to be what we want it to be. It can improve, but to do that we need to keep chipping away at the bits that do not belong.
     
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  3. A.B.

    A.B. Senior Member

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    Industry sponsored research is simply not trustworthy when money is at stake. I'm very glad that independent research still exists.
     
    Last edited: Jan 23, 2014
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  4. Esther12

    Esther12 Senior Member

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    There needs to be systems of accountability in place.

    At the moment, spinning data to make it seem like your results are more impressive than they are is good for a researchers career. We need to change that.
     
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  5. Valentijn

    Valentijn Activity Level: 3

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    I vote for jail time :D Or extensive community service for the benefit of the people harmed by the spin.
     
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  6. Firestormm

    Firestormm Guest

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    Or a loss of prestige and title :)
     
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  7. xchocoholic

    xchocoholic Senior Member

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    Tarred and feathered appeals to me.
     
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  8. Valentijn

    Valentijn Activity Level: 3

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    Who says we have to choose? "All of the above" should work :D
     
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  9. alex3619

    alex3619 Senior Member

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    How about loss of patents? If companies commit fraud to get patents and approval, they should lose ownership of the drug, in its entirety, with the caveat that any harm from the drug up to that point is still their responsibility. Simple cancellation of a patent might be enough.
     
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  10. user9876

    user9876 Senior Member

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    If there was a prosecution of a drug company (or academic researchers/universities) for manslaughter or ABH/GBH assault depending on the level of harm they had caused that might lead to a huge change in culture. If someone knowingly covers up harms done by a drug or other medical treatment then I think they deserve such treatment.

    Equally is a scientist knowingly misrepresents the positive outcomes leading people to take risks in trying a treatment that won't work I see no reason why they should not be prosecuted.

    Where bad results are the result of incompetence I think we have to ask how people keep their jobs. In the current system they just seem to get more funding.

    When the corporate culture was deemed bad around financial reporting leading to Enron's collapse the failure to correctly report financial results became a criminal offense in the US and this lead to a cultural change.
     
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