Sunday, October 31, 2010

Lies, Damned Lies, and Medical Science

http://www.theatlantic.com/magazine/archive/2010/11/lies-damned-lies-and-medical-science/8269

Lies, Damned Lies, and Medical Science
By DAVID H. FREEDMAN

Much of what medical researchers conclude in their studies is misleading, exaggerated, or flat-out wrong. So why are doctors-to a striking extent-still drawing upon misinformation in their everyday practice? Dr. John Ioannidis has spent his career challenging his peers by exposing their bad science.
...
Ioannidis ... [is] one of the world's foremost experts on the credibility of medical research. He and his team have shown, again and again, and in many different ways, that much of what biomedical researchers conclude in published studies-conclusions that doctors keep in mind when they prescribe antibiotics or blood-pressure medication, or when they advise us to consume more fiber or less meat, or when they recommend surgery for heart disease or back pain-is misleading, exaggerated, and often flat-out wrong. He charges that as much as 90 percent of the published medical information that doctors rely on is flawed. His work has been widely accepted by the medical community; it has been published in the field's top journals, where it is heavily cited; and he is a big draw at conferences. Given this exposure, and the fact that his work broadly targets everyone else's work in medicine, as well as everything that physicians do and all the health advice we get, Ioannidis may be one of the most influential scientists alive. Yet for all his influence, he worries that the field of medical research is so pervasively flawed, and so riddled with conflicts of interest, that it might be chronically resistant to change-or even to publicly admitting that there's a problem.  ...

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*snip*
Very worthwhile, read the whole thing.
Another set of good reasons why we should not be handing over the keys to the National Treasury to the AMA, MD's, HMOs and Hospital System.  Official medical quackery about to stage the world's largest heist.

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