Most healthcare interventions tested in Cochrane Reviews

[DadSmith]

Most healthcare interventions tested in Cochrane Reviews are not effective according to high quality evidence: a systematic review and meta-analysis

To estimate the proportion of healthcare interventions tested within Cochrane Reviews that are effective according to high-quality evidence.We selecte…

www.sciencedirect.com

Very few drugs that were approved between January 1, 2008 and March 5, 2021 had clinical data that met the high-quality standard.

Very disappointing to say the least.

 

[Frosty]

It’s all about the money. If they cure your issue then you don’t need their medication. I feel like healthcare has become more like sales to some extent.

 

[Leo]

Just in 2020, the FDA recalled 344 drugs and at least 36 drugs were discontinued. that should give everyone a warm, fuzzy feeling about the people that are paid to watch out for dangers in the drugs.

In the recent past, I have been prescribed some drugs that were discontinued for safety issues and a couple that had multiple lots that were recalled for cancer causing contaminants. (after I had taken a couple bottles of them)

So what is killing me, sickness, bad drugs, or medical misadventure?

 

[hoosierdoc]

It’s all about the money. If they cure your issue then you don’t need their medication. I feel like healthcare has become more like sales to some extent.

I hear this all the time. Just absurd. Who is the "they", and what cures are they witholding from society?

 

[DadSmith]

I hear this all the time. Just absurd. Who is the "they", and what cures are they witholding from society?

Producing ineffective drugs is one issue.

 

[hoosierdoc]

Producing ineffective drugs is one issue.

They are profit driven. Doesn't mean the drugs with limited effectivess are intended to hold patients back.

There have been some absurd drugs released in last 20 years for sure. Should FDA only approve drugs that are better than existing therapies? It should be up to the doc to use/not use a med, not FDA to block approval if it is safe.

Homepage – TheNNT

www.thennt.com

Thid website is great for checking effectiveness of various things. Look at statins and flu vaccines. Antibiotics for sinusitis is a great one. Everyone wants ABX for their "sinus infection". Data says heck no, but docs afraid of negative reviews and complaints.

Often times patients don't seek our opinions, they simply use us to get done what they want. When we render our opinion and it's different than theirs, we become barriers to what they know they need and we get complaints.

I know this isn't what we were talking about, but it is a good tangent

 

[Kurr]

"Ask your Doctor if XxX is right for you"

It seems like a good 70% of the commercials are drug commercials with this tagline.

 

[Leo]

Data says heck no, but docs afraid of negative reviews and complaints.

Doc, you just said a tragedy. A man of the craft cannot practice without being afraid of social media reviews and the Corporate administrators that mandate protocols, even if they are wrong. I am not in love with every Dr. that has worked on me, but I will not have the next one chosen by WalMart shoppers with smart phones.

I even see reports that Dr's lose positions because of gender dysphoria issues. No matter what a person wants to make believe, there is a difference. Anyone in the field that cannot properly differentiate between X & Y chromosome humans, should not be an MD.

 

[hoosierdoc]

After that spine surgeon was shot and killed in Kansas recently, his online reviews were spammed with hundreds 1-star reviews because the sheep heard his patient was in pain and didn't receive medications. They said he deserved to be killed and he was a dick.

Google shut down the reviews on it and deleted them all. I was doxxed and slandered when COVID first Hit. It made me want to quit medicine and give the whole industry double middle fingers on my way out the door.

It's really becoming not worth the emotional damage we're experiencing lately. Nearly everyone I know in emergency medicine wants out.

 

[phylodog]

Often times patients don't seek our opinions, they simply use us to get done what they want. When we render our opinion and it's different than theirs, we become barriers to what they know they need and we get complaints.

No offense but as with police work, the days of doctors developing personal relationships with those at work have largely gone by the wayside. With that goes a certain level of trust. I don't blame doctors, you can't really get to know people when you have 200 patients a day wanting your time.

It sucks but it is what it is. More than ever in this country we have no shortage of people who believe there is nothing after this life. If that is the case, and this is all there is, people are afraid to die and therefor want to talk to a doc if they had a fart go out of tune.

 

[hoosierdoc]

Oh I totally get it. Which is another reason why we need to outlaw reviews of docs. Already completely one sided and due to HIPAA we cannot reply, even to outright lies.

If we didn't care if we upset patients we could double productivity and halve medical spending with no change in outcomes.

 

[DoggyDaddy]

"Ask your Doctor if XxX is right for you"

It seems like a good 70% of the commercials are drug commercials with this tagline.

 

[manifest destiny]

If we didn't care if we upset patients we could double productivity and halve medical spending with no change in outcomes.

How do the negative reviews damage the doctors? Is it the doctors group that demotes the doctor for poor patient reviews? The hospital doesn't want to work with the doctors group that has negative reviews? Lack of promotion opportunities? Can negative reviews result in higher liability premiums for the docs? I'm not sure I'm asking it right. I'm just curious how the bad reviews damage the doctor.

 

[phylodog]

How do the negative reviews damage the doctors? Is it the doctors group that demotes the doctor for poor patient reviews? The hospital doesn't want to work with the doctors group that has negative reviews? Lack of promotion opportunities? Can negative reviews result in higher liability premiums for the docs? I'm not sure I'm asking it right. I'm just curious how the bad reviews damage the doctor.

I look for reviews on most purchases over a couple hundred bucks before I spend my money. You can bet I look at online reviews of doctors before paying them a visit. Bad reviews = I'm looking elsewhere. Fortunately for most I have a pretty well calibrated BS detector and whiny babies stand out pretty easily.

 

[hoosierdoc]

How do the negative reviews damage the doctors? Is it the doctors group that demotes the doctor for poor patient reviews? The hospital doesn't want to work with the doctors group that has negative reviews? Lack of promotion opportunities? Can negative reviews result in higher liability premiums for the docs? I'm not sure I'm asking it right. I'm just curious how the bad reviews damage the doctor.

It's different everywhere. I am an ER doc, no one looks me up to see if they want to come to the ER where i work. But surgeons and consultants they sure do.

Many contracts have satisfaction scores tied to reimbursement and people are fired all the time for low satisfaction scores.

Hospital likes happy patients. Patients are happiest when they receive a lot of testing and procedures. Hospital makes a lot of money off of those. Rinse, repeat.

My biggest issue is the personal side. People yell at me and say they're going to sue me all the time. They call me names. Lie about me to administration. And that's while I'm trying to be good at customer service.

Imagine i could cut off people thirty seconds into their sob story and tell them their chronic abdominal pain is due to depression and I'm going to discharge them immediately, rather than spend hours running tests i know are not going to show anything.

The ability to do that without retribution is how we can reduce healthcare spending.

 

[manifest destiny]

Dang. Consultants, hospitals, patients and subjective reimbursement. It sounds like they're hitting you from every side. Thanks for bringing up to speed.

 

[Libertarian01]

I hear this all the time. Just absurd. Who is the "they", and what cures are they witholding from society?

What? You don't know!?!?

It's the Bavarian Illuminati in alliance with the Masons. In 1910, after Prince Leopold II lost access to the riches of the Congo, he organized a secret meeting in Bruge between himself, the Illuminati and the Masons. The American industrialists were also represented. Nobody knows how they found out but the Rothchilds just showed up. They were grudgingly welcomed.

Together, they formed a secret alliance to control the new technologies and advancements so that only they could profit from them. As nobody wanted to be seen touching the secret society they soon turned to former Russian nobles who had been kicked out by the communists. We know that Czarina Anastasia Romanov was smuggled out of Russia and secretly ran the entire operation out of Luxemburg until she died tragically in a boating "accident" in early summer 1975, on Lake Geneva. She is directly responsible for pushing research into plastics, transistors, and the internet.

There is strong evidence that the "Cabal" as they had become known, then recruited someone who could organize things and was ruthless in business. On August 5th, 1975 organization power was then Transferred to James Riddle Hoffa. When the Shah of Iran discovered through his intelligence network links to the Cabal it was too bad for him. Hoffa had him overthrown and removed.

Under the Hoffa administration of the Cabal they had acquired cold fusion, the cure for cancer, and cellular regeneration. There are rumors that Hoffa has pushed for and found a drug that makes politicians smart, wise, and immune to corruption. But that's just silly.

Now you know the rest of the story.

Have a nice day,

Doug

 

[Leo]

I have had one Dr that was such a drug dealer it was laughable. He was a Pulminologist that was supposed to check me out before heart surgery. He never even put a stethoscope to my chest. He sat down, started writing, told me what he was treating me for. My response was "Doc, I don't have those troubles". He said he was a specialist. Then he wrote scripts for the astra zeneca versions of drugs I was taking from other doctors. Of course they were 3 times the money and the insurance would not pay for them anyway. Talk about a soft money pusher. Then I got his bill, he had charged double what the insurance would pay for even special exams by a specialist. I don't mind him making a living, but he should not make a weeks wage for 15 minutes of filling out forms. I am too experienced in seeing Doctors to even get mad. Like a crappy waitress, I tell the management and refuse to go there anymore.