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Why Do Doctors Use Treatments That Do Not Work? For Many Reasons - Including Their Inability To Stand Idle And Do Nothing., Jenny Doust, Chris Del Mar
Why Do Doctors Use Treatments That Do Not Work? For Many Reasons - Including Their Inability To Stand Idle And Do Nothing., Jenny Doust, Chris Del Mar
Jenny Doust
Why do we still use ineffective treatments? One reason is that our expectations for the benefits of treatment are too high. Also clinical experience can be a poor judge of what does and does not work - hence the need for randomised controlled trials. Even when empiricism is satisfied we can be misled by looking at the wrong outcome. Indeed some treatments have harms that outweigh their benefits and are not evident in trials. Much of the clinical examination and diagnostic testing is more of a ritual than diagnostically useful. Doctors must be willing to continually question their own managements …
Systematic Review And Individual Patient Data Meta-Analysis Of Diagnosis Of Heart Failure, With Modelling Of Implications Of Different Diagnostic Strategies In Primary Care, J. Mant, J. Doust, A. Roalfe, P. Barton, M. Cowie, P. Glasziou, D. Mant, R. Mcmanus, R. Holder, J. Deeks, K. Fletcher, M. Qume, S. Sohanpal, S. Sanders, F. Hobbs
Systematic Review And Individual Patient Data Meta-Analysis Of Diagnosis Of Heart Failure, With Modelling Of Implications Of Different Diagnostic Strategies In Primary Care, J. Mant, J. Doust, A. Roalfe, P. Barton, M. Cowie, P. Glasziou, D. Mant, R. Mcmanus, R. Holder, J. Deeks, K. Fletcher, M. Qume, S. Sohanpal, S. Sanders, F. Hobbs
Jenny Doust
Objectives: To assess the accuracy in diagnosing heart failure of clinical features and potential primary care investigations, and to perform a decision analysis to test the impact of plausible diagnostic strategies on costs and diagnostic yield in the UK health-care setting. Data sources: MEDLINE and CINAHL were searched from inception to 7 July 2006. ‘Grey literature’ databases and conference proceedings were searched and authors of relevant studies contacted for data that could not be extracted from the published papers. Review methods: A systematic review of the clinical evidence was carried out according to standard methods. Individual patient data (IPD) analysis …