3 ms·
I would like to see RCTs on whether the current approach of care gatekept by doctors (ie. prescription for glasses, can't use this melanoma diagnosis tool unles
by whimsicalism 2y ago
I would like to see RCTs on whether the current approach of care gatekept by doctors (ie. prescription for glasses, can't use this melanoma diagnosis tool unless you visit and pay for a derma) actually has any measurable impact on downstream health.
It's interesting that we have all these RCTs for drug interventions, but never conduct the RCTs on policy like letting NPs do more procedures, etc.
- rscho 2y agoAh, RCTs! The final truth, the end all of all arguments. I've been working for enough profs to know that the best thing to do with 90%+ medical papers is to transfer them directly to the wastebin, and that includes RCTs.
- whimsicalism 2y agoYeah, what is a randomized controlled trial when we have your 'gut feel' to rely on. Great showing from the physicians in the comments here, now I can clearly see why we should have trust in your evidence-based practice.
- rscho 2y agoI do clinical statistics. I make such studies. Sorry the sausage is not the way you dreamt it!
- mrtranscendence 2y agoX says "I would like RCTs on this subject", and you reply that most RCTs are worthless. Great, what do you want, a cookie? Presumably they want good RCTs, not low-quality ones.
- rscho 2y agoYeah, I'd like a cookie. I'd also like medicine to become real science. Unfortunately, you can't say by reading the paper, whether the paper corresponds to what's truly been done. In my experience, it often doesn't. What's your personal experience you wish to enlighten us with?