One article on PainSci cites Smith 2003: Why “Science”-Based Instead of “Evidence”-Based?
PainSci notes on Smith 2003:
A classic satire of evidence-based medicine, particularly the hyperbolic (straw man!) notion that you have to have an RCT to say anything about the safety or efficacy of a treatment. That, of course, is utter bollocks.
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
OBJECTIVES: To determine whether parachutes are effective in preventing major trauma related to gravitational challenge.
DESIGN: Systematic review of randomised controlled trials.
DATA SOURCES: Medline, Web of Science, Embase, and the Cochrane Library databases; appropriate internet sites and citation lists.
STUDY SELECTION: Studies showing the effects of using a parachute during free fall.
MAIN OUTCOME MEASURE: Death or major trauma, defined as an injury severity score> 15.
RESULTS: We were unable to identify any randomised controlled trials of parachute intervention.
CONCLUSIONS: As with many interventions intended to prevent ill health, the effectiveness of parachutes has not been subjected to rigorous evaluation by using randomised controlled trials. Advocates of evidence based medicine have criticised the adoption of interventions evaluated by using only observational data. We think that everyone might benefit if the most radical protagonists of evidence based medicine organised and participated in a double blind, randomised, placebo controlled, crossover trial of the parachute.
Specifically regarding Smith 2003:
- “Yes, Jacqueline: EBM ought to be Synonymous with SBM,” Kimball Atwood, ScienceBasedMedicine.org.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Gerhart 2017 Ann Behav Med.
- Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain. Zhou 2020 Sci Rep.
- Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness. Nakale 2018 Foot Ankle Int.
- No Added Benefit of Combining Dry Needling With Guideline-Based Physical Therapy When Managing Chronic Neck Pain: A Randomized Controlled Trial. Stieven 2020 J Orthop Sports Phys Ther.
- Effectiveness of customised foot orthoses for Achilles tendinopathy: a randomised controlled trial. Munteanu 2015 Br J Sports Med.