thebmj Op-ed - The illusion of evidence based medicine

thebmj Op-ed - The illusion of evidence based medicineShow more

theBMJ has a beautifully written article which highlights some of the issues with the current evidence based medicine practices. They also have a great list of proposals to correct these anomalies. Let's review.

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My additions to the fixed proposed by thebmj:
Forbid high level employees from a large corporation to join regulatory agencies.
Forbid high level employees of a regulatory agency from joining large organizations.
Forbid either of these employees to join startups as board members or PR team. They can join as research workers or other internal facing employees.
Tax big corporations to fund independent organizations that will review, analyze, and certify the trial data. These organizations should be the public's representation.
Formulate a non-government non-corporate drug review board that should go over the phase IV results of all the newly approved drugs and recommend to stop or continue based on these results.
Non medical hospital management should not be part of the therapy policy maker or enforcers.
Correct the political leaning of the state medical boards.
Fine the media pundits/gurus that represent drugs/therapies without having the credentials to discuss medicine.
On yearly basis make public all communications about drug trials and approvals.

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Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.

URL list from Wednesday, Mar. 30 2022

The illusion of evidence based medicine | The BMJ
https://www.bmj.com/content/376/bmj.o702

Clinical trials and drug promotion: Selective reporting of study 329 - IOS Press
https://content.iospress.com/articles/international-journal-of-risk-and-safety-in-medicine/jrs426

Narrative review: the promotion of gabapentin: an analysis of internal industry documents - PubMed
https://pubmed.ncbi.nlm.nih.gov/16908919/

Risk of cardiovascular events associated with selective COX-2 inhibitors - PubMed
https://pubmed.ncbi.nlm.nih.gov/11509060/

Pandemrix vaccine: why was the public not told of early warning signs? | The BMJ
https://www.bmj.com/content/362/bmj.k3948?ijkey=6be717cd06482aaf028cd4203f87c248449b1303&keytype2=tf_ipsecsha

The BMJ - Wikipedia
https://en.wikipedia.org/wiki/The_BMJ#:~:text=In%20the%202020%20Journal%20Citation,fourth%20among%20general%20medical%20journals.

pharma sponsoring cmes in the us after:01-01-2017 - Google Search
https://www.google.com/search?q=pharma+sponsoring+cmes+in+the+us+after%3A01-01-2017&ei=OtJEYqu9IpGckPIPjJOHyAs&ved=0ahUKEwirwtiG6u72AhURDkQIHYzJAbkQ4dUDCA4&uact=5&oq=pharma+sponsoring+cmes+in+the+us+after%3A01-01-2017&gs_lcp=Cgdnd3Mtd2l6EAM6BwgAEEcQsANKBAhBGABKBAhGGABQ2A5Y9ltgk15oAnABeACAATuIAeQBkgEBNJgBAKABAcgBCMABAQ&sclient=gws-wiz

New Jersey Finalizes “Gift” Ban of Physicians Working with the Pharmaceutical Industry – Policy & Medicine
https://www.policymed.com/2018/01/new-jersey-finalizes-gift-ban-on-doctors-and-pharma.html

Medical Marketing in the United States, 1997-2016 | Health Care Economics, Insurance, Payment | JAMA | JAMA Network
https://jamanetwork.com/journals/jama/fullarticle/2720029

Pharma, medtech spending accounted for 28% of CME funds in 2017 | Healthcare Dive
https://www.healthcaredive.com/news/pharma-medtech-spending-accounted-for-28-of-cme-funds-in-2017/528598/

778_20180712_2017_Data_Report.pdf
https://www.accme.org/sites/default/files/2018-07/778_20180712_2017_Data_Report.pdf?utm_source=newsletter&utm_medium=email&utm_content=ACCME%20Data%20Report%3A%20Growth%20and%20Diversity%20in%20Continuing%20Medical%20Education%E2%80%932017&utm_campaign=2017%20Data%20Report

902_20210615_2020 Data Report.pdf
https://www.accme.org/sites/default/files/2021-06/902_20210615_2020%20Data%20Report.pdf

Prescription for Conflict: CME Funding from Big Pharma to Big Placebo – Policy & Medicine
https://www.policymed.com/2010/04/prescription-for-conflict-cme-funding-from-big-pharma-to-big-placebo.html