EVIDENSBASERT MEDISIN

En klassiker fra BMJ 2003, for dem som ikke har hatt gleden av å lese den tidligere. Smith and Pell deler ut lyskespark til fanatiske tilhengere av evidensbasert medisin. Evidsensbasert medisin har en viktig rolle i vår hverdag, og har gitt oss mange nyttige svar. MEN man skal huske på at evidensbasert medisin noen ganger vil komme til kort og har sine svakheter, akkurat som alle andre tilganger til medisinsk viten. Les, le og lær.>”

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.

Les hele artikkelen her:

Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials

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