This blog discusses the issue of ‘too much medicine’; a growing concern in the medical community regarding the over-diagnosis, over-treatment and over-testing of various pathologies. In particular, focusing on the overestimation of risk and the base rate fallacy.
Introducing Cochrane Crowd, a collaborative volunteer effort to help categorise and summarise healthcare evidence so that – ultimately – we can make better healthcare decisions. Find out how and why you should get involved.
Let’s find out why physicians sometimes contradict each other from a statistical perspective. And see how students can learn from that.
Here we will address the problem with cancer screening interventions regarding the potential benefits and harms of these strategies.
This blog describes what is meant by a positive predictive value and a negative predictive value, their purpose and how they can be interpreted
YouTube video series by Dr. Aaron Carroll called Healthcare Triage, where his motto is, “To the Research!”
The Cochrane Dementia Group’s Modifiable Risk Factors project has utilized new crowdsourcing techniques to speed up the review process. Sofía Jaramillo takes a look behind the scenes.
Robert Kemp reports on how a Cochrane review group has, with some success, been working to speed up an important stage of the review production process by introducing crowdsourcing methods to the arduous task of citation screening.
Thankfully, this “less is more” idea seems to be a movement gaining serious momentum in the medical world to “wind back the harms of too much medicine”.
Diagnostic tests can be big business. Angel Wong reports on one case study highlighting how deceptive such tests can be.
For many women, at the end of their yearly check-up, the phrase “we’ll see you back here in one year,” can induce a lot of anxiety. Another pelvic exam awaits in 365 days. Though, the newest guidelines published by the American College of Physicians suggests that routine use of the pelvic examination, may be obsolete. Read Aaron’s overview of the new pelvic exam guidelines.
In 2004, the U.S. Preventive Services Task Force determined their was insufficient evidence to recommended for or against screening for suicide at the primary care level. Where are we 10 years later? Read Aaron’s review of the recent recommendations on suicide screening in the primary care arena.
On the uniform of every fine detective, badges which salute their sensitivity and specificity are worn. From crime to clinic, find out what defines these “pre-test” probabilities.
Pre-test probabilities can help clinicians select and interpret diagnostic tests. To see a recent, real life application check out Aaron’s review of “Diagnostic Accuracy of Point-of-Care Tests for Detecting Albuminuria” from the Annals of Internal Medicine.