3 ms·
A great book RTCs is Ben Goldacre's Bad Science (http://www.badscience.net/ http://www.badscience.net/) He points out that some of the first clinical trials re
by zekenie 13y ago
A great book RTCs is Ben Goldacre's Bad Science (http://www.badscience.net/ http://www.badscience.net/)
He points out that some of the first clinical trials recorded were in the bible. I couldn't find his quote, but I found an NEJM piece that references the same thing, although I think its in a nutrition debate.
"The first published report of a clinical trial has biblical origins. In the Book of Daniel,5 reference is made to the unwillingness of the Israelite Daniel to accept the diet offered by the Babylonian king Nebuchadnezzar. The king's official had put a steward in charge of Daniel and his three friends (Shadrach, Meshach, and Abednego):"
"Daniel said to the steward . . . “Test your servants for ten days; let us be given vegetables to eat and water to drink. Then let our appearance and the appearance of the youths who eat the king's rich food be observed by you, and according to what you see deal with your servants.” So he hearkened to them in this matter, and tested them for ten days. At the end of ten days it was seen that they were better in appearance and fatter in flesh than all the youths who ate the king's rich food. So the steward took away their rich food and the wine they were to drink and gave them vegetables."
(http://www.nejm.org/doi/full/10.1056/NEJM200301023480120 http://www.nejm.org/doi/full/10.1056/NEJM200301023480120)
- Renaud 13y agoMaybe I'm mistaken, but the historical bias fat=healthy seems to be visible there. It's doubtful that by eating only vegetables they could be 'fatter' than those who drank and ate rich foods. It's obvious the writers were trying to make a point, but I'm not persuaded by the accuracy of the findings.
- zekenie 13y agoYeah, I don't really care one way or the other about the context. I more care about the fact that there was a clinical trial thousands of years ago before concepts of statistics... I like that it can all be boiled down to: split people into two groups at random. Do something to one group, do nothing to the other, measure the results.