A study in the New England Journal of Medicine finds basically no effect on cardiovascular outcomes from intensive glucose control for type 2 diabetes patients.
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There isn't as much evidence to support some care guidelines as you might think, according to research in JAMA.
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A research letter and an editorial in the Journal of the American Medical Association illustrate the potential pitfalls of guideline-based care.
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A recent paper at the National Bureau of Economics discusses why clinical guidelines often appear to have little utility or impact.
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A survey reported in Health Affairs finds that most Americans don't see the relationship between quality and price in health care.
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A Health Affairs study provides interesting insight on how the public looks at evidence-based medicine.
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More from the maybe we don't really know what we think we know department; after decades of complaining about excessive Cesarean deliveries, new research published in JAMA indicates that higher rates of such deliveries are associated with lower baby and mother mortality.
http://jama.jamanetwork.com/article.aspx?articleid=2473490Keeping guidelines consistent with the latest scientific evidence may not be happening as consistently as it should be, according to research in the Journal of the American Medical Association.
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Several articles and a commentary in the current issue of the Journal of the American Medical Association focus on treatment guidelines for hypertension and lipid level issues, indicating that the…
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A doctor writing in JAMA suggests that there are six misleading words associated with evidence-based medicine--"there is no evidence to suggest"--and that these words can make people think that a particular treatment is or isn't efficacious or safe when there really just isn't research on the point.
http://jama.jamanetwork.com/article.aspx?articleid=1785467A JAMA viewpoint discusses how to reconcile evidence-based medicine and patient preferences, with a focus on the importance of recognizing informed patient choices, even when they may conflict with the best research evidence represented by a guideline.
http://jama.jamanetwork.com/article.aspx?articleid=1763247How much can you trust research? Not a lot sometimes, as an article in Health Affairs demonstrates, using the issue of salt reduction as an example. It turns out that…
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The leaves fall but not the quality of our Potpourri, this week covering beneficiaries' use of Medicare Star ratings, quality of care guidelines and older patients, compassionate care, asthma care…
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About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
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