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Absence of Proof vs. Proof of Absence: Do We Need a Controlled Trial of Parachutes for Sky Divers?

June 19, 2008 - 1:36 pm

   Throughout this site, we try to rely on the strength of evidence to support the value of one treatment over another.  This is based on a growing trend of evidence-based medicine, by which we shape our management decisions following the lines of clinical trials.  But this approach of “useless until proven valuable” is really [...]

7 Comments

Culture Clash: Evidence-Based Medicine When We Need Miracles Fast

March 14, 2007 - 3:45 pm

Last year, one of the issues I was struck by in reading the comments on a few patient-oriented websites when I really began in earnest to participate in the online sites was the tension that can occur all too often between patients and oncologists. There are certainly many potential pitfalls, but one [...]

4 Comments

Risk vs. Benefit When Fighting Cancer

December 27, 2006 - 3:22 pm

Yesterday, a member here made a very fair comment (here) after one of my recent posts in which I raised my concern about giving treatments without evidence to support it. The issue was whether it is really appropriate to be so protective and insular in my thinking in a setting in [...]

4 Comments