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Medicine @mander.xyz
Neurologist @mander.xyz

Selective outcome reporting in trials of behavioural health interventions in health psychology and behavioural medicine journals: a review

Summary:

Selective outcome reporting can result in overestimation of treatment effects, research waste, and reduced openness and transparency. 
\
\ This review aimed to examine selective outcome reporting in trials of behavioural health interventions and determine potential outcome reporting bias. 
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\ A review of nine health psychology and behavioural medicine journals was conducted to identify randomised controlled trials of behavioural health interventions published since 2019. 
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\ Discrepancies in outcome reporting were observed in 90% of the 29 trials with corresponding registrations/protocols. 
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\ Discrepancies included 72% of trials omitting prespecified outcomes; 55% of trials introduced new outcomes. 
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\ Thirty-eight percent of trials omitted prespecified and introduced new outcomes. Three trials (10%) downgraded primary outcomes in registrations/protocols to secondary outcomes in final reports; downgraded outcomes were not statistically significant in two trials. 
\
\ Five tr

Medical Professionals @midwest.social
Neurologist @mander.xyz
science @lemmy.world
Neurologist @mander.xyz
Medical Professionals @midwest.social
Neurologist @mander.xyz

Sorry but I had to share this, it’s gold, and such an on point critique. And very relevant for anyone informing clinical decisions with RCTs.

Medical Professionals @midwest.social
Neurologist @mander.xyz
Medical Professionals @midwest.social
Neurologist @mander.xyz

Gaslighting RFK Jr.’s role in the deadly Samoan measles outbreak

Medical Professionals @midwest.social
Neurologist @mander.xyz
  • No it’s not.

    We usually have guidelines and protocols to follow which minimise the chance of harm and standardise care. Here we’re left with nothing, unsure what we’re allowed to do or not, unsure what we should do. There have already been multiple reports of mismanagement of pre-natal care resulting in deaths because of this.

  • News @lemmy.world
    Neurologist @mander.xyz
    Medical Professionals @midwest.social
    Neurologist @mander.xyz
    Science Memes @mander.xyz
    Neurologist @mander.xyz

    I'm literally a thinking lump of fat

    Medical Professionals @midwest.social
    Neurologist @mander.xyz

    Nurses for America petition to reject RFK Jr from lead HHS role

    docs.google.com NFA is ALARMED by RFK Jr

    Please Sign Below to Show Your Support (Nurses and supporters of nurses are welcome to sign) WHEN COMPLETE, PLEASE CLICK “SUBMIT”. Do not click “Request Edit Access”. Health at Risk: Nurses for America Sounds the Alarm on RFK Jr.’s Dangerous Nomination to Lead HHS Nurses for America is gravely co...

    NFA is ALARMED by RFK Jr
  • Crispr is the exception:

    1. it’s massively expensive
    2. it can cure multiple illnesses and perform loads of other functions

    Most proposals for cures are a fairly simple (and cheap) therapeutic target that will only work for one condition or even just a subset of cases within that condition.

  • That’s the lenient interpretation I’d hope.

    But we’re not an alternative medicine group or anything. If you look into their shareholder meetings the public info seems to be that they judge whether investments are worth it by potential return on investment, and well a lifelong treatment is always going to be more profitable for them than a cure.

  • Completely true. But there would be fewer of them.

    It’s crazy that when my research team comes up with a therapeutic target we believe might lead to curing a disease, we get crickets from drug companies. But when we present therapeutic targets for long term treatment, we get lots of interest.

  • Although it’s true that nurses can have some fucked up beliefs, don’t underestimate doctors. Some of my colleagues are ableist, misogynistic, bigoted, power hungry, with a superiority complex. I think these are the kind of Gps and specialists making r/medicine so awful.

  • That aside, as a medical professional, I have to say r/medicine is such a cesspool of a subreddit, and I don’t say this lightly.

    They regularly ridicule patients and specific conditions, harbour prejudiced views towards poor people and people from minority groups, and generally push pseudoscientific nonsense.

    It’s a really disheartening subreddit to visit when you’ve got your patient’s best interests at heart.

    Apart from that, I do agree with their view on UnitedHealth’s CEO.

  • ME/CFS @lemmy.blahaj.zone
    Neurologist @mander.xyz

    Applications wanted for Genetics Post-Doc specialised in ME at University of Vienna

    Medical Professionals @midwest.social
    Neurologist @mander.xyz

    Applications wanted for Genetics Post-Doc specialised in ME at University of Vienna

  • This channel has a bunch of short (5 mins long videos) about ME to educate people.

    There’s also a slightly outdated (but still worth the watch) oscar nominated documentary about it, which has been made free and put on youtube recently It’s Unrest by Jennifer Brea

    One of my patients also runs this excellent website with a bunch of resources about the disease.

  • I’m sorry I really shouldn’t be giving medical advice. It’s been a long time since I studied neurology. I’ve spent the past decade only on post viral diseases like ME.

    But please please find yourself a doctor that listens and cares if that is possible. Because it clearly sounds like you need tests and you need a doc thats available for you. Maybe join some local MS support groups and ask if anyone has docs that do a really good job and try from there.

    I’ll tell you this as a doctor. I would stay the hell away from some of my colleagues. Not every doctor is anywhere near good at their jobs. Some don’t care, some barely passed and don’t want to learn anything new, some like to always assume their patients have psychological problems. Find yourself a good doctor who is proactive and cares, and everything will be so much easier. Sending you good luck.

  • Hey I’m a researcher who works on ME (in the past called CFS).

    ME/CFS is currently classified as a disease/biological illness according to the CDC.

    ME is a disease state in itself. We don’t know much about it, but it can’t be explained by other diagnoses, as the defining factor, neuro-immune abnormalities including immune activation showing up post exertion is unique to it. You’re completely right that we don’t yet have a reliable biomarker. We have a test that differentiates from healthy controls, but it was discontinued for ethical reasons because conducting the test leads to a sometimes permanent worsening of the illness.

    In the past it’s been mixed up and jumbled a lot, but the picture is getting clearer.

    There have been a few case reports of degenerative forms of the illness. But in general it takes a more classical relapsing remitting pattern. Although even in less bad stages some patients are severely functionally disabled, even bedridden and tubefed. It has a really wide range of severities with the least severely affected able to work part time and walk and travel, while the most severe might not even be able to communicate.

  • Couldn’t have said it better. And yes, science journalism often is basically repeating and dumbing down what a study says, but in science, and especially in medicine, a lot of studies tend to be wrong, make false assumptions, or overstate their findings, while journalists tend to take them for their word. There’s a reason you hear of a new cancer treatment in the news every other week but few actually make it past FDA approval.

  • Well the problem is we know very little. So a movie like that would be complete guesswork.

    You might enjoy the youtube channel “Stephan Milo” though. His videos are well sourced and have a lot of expert interviews. And he focuses on this kind of stuff.

  • Cool.

    Title might be a bit clickbait though.

    It’s oldest known representational art. Not oldest known art.

    For example the carvings in the Blomos cave in South Africa are atleast 75’000 years old.

    Edit: Thank you for editing the title! That’s pretty weird mistake by Nature I thought they had high standards. Well they have peer reviewed and approved some dodgy research in my field recently so maybe I should be more skeptical.

  • science @lemmy.world
    Neurologist @mander.xyz

    Galectin-9 and Artemin may serve as Long COVID biomarkers

    ELI12 TLDR: Decent accuracy was found ~80% when using these to differentiate between people with Long COVID versus people who had recovered. People with Long COVID tend to have high Artemin which is linked to nerve cell communication problems and the elevated levels found may provide a clue into the cognitive problems many of these patients have. High Galectin-9 levels (which were also found here) are often associated with immune issues such as overactivation, which seems to fit well with all the immune abnormalities we see in these patients.

    Abstract: This study aimed to assess plasma galectin-9 (Gal-9) and artemin (ARTN) concentrations as potential biomarkers to differentiate individuals with Long COVID (LC) patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) from SARS-CoV-2 recovered (R) and healthy controls (HCs). Receiver operating characteristic (ROC) curve analysis determined a cut-off value of plasma Gal-9 and ARTN to differentiate LC patients from the R

    Medical Professionals @midwest.social
    Neurologist @mander.xyz

    Medical Education on Post-Exertional Malaise and Pacing in ME and Long COVID patients (Video) Dr Brayden Yellman et al.

    Medical Professionals @midwest.social
    Neurologist @mander.xyz

    Patients with severe ME at risk of starvation

    Nearly 200 health professionals have written to the health secretary saying that patients with the illness are being left to ‘languish behind closed doors’

    The Times (UK)

    Doctors have said that NHS patients with myalgic encephalomyelitis (ME) risk starving to death because of unsafe and “unconscionable” standards of care. 

    The letter calls for the government to take action to address the “serious patient safety concerns” for patients with ME, an illness which affects about 250,000 people in the UK.

    More than 200 health professionals including GPs, hospital consultants and nurses have written to Wes Streeting, the health secretary, saying that patients with the illness are being left to “languish behind closed doors” because specialist NHS services to provide safe care “do not exist”.

    ME, also known as chronic fatigue syndrome, is a complex neurological disorder that leads to symptoms including extreme exhaustion. Severe cases can be fatal, with patients bedridden and unable to e

    science @lemmy.world
    Neurologist @mander.xyz

    Microvascular and Immunometabolic features of Post-Exertional Malaise in Long COVID and ME/CFS

    link.springer.com Towards an understanding of physical activity-induced post-exertional malaise: Insights into microvascular alterations and immunometabolic interactions in post-COVID condition and myalgic encephalomyelitis/chronic fatigue syndrome - Infection

    Background A considerable number of patients who contracted SARS-CoV-2 are affected by persistent multi-systemic symptoms, referred to as Post-COVID Condition (PCC). Post-exertional malaise (PEM) has been recognized as one of the most frequent manifestations of PCC and is a diagnostic criterion of m...

    Towards an understanding of physical activity-induced post-exertional malaise: Insights into microvascular alterations and immunometabolic interactions in post-COVID condition and myalgic encephalomyelitis/chronic fatigue syndrome - Infection

    Background

    A considerable number of patients who contracted SARS-CoV-2 are affected by persistent multi-systemic symptoms, referred to as Post-COVID Condition (PCC). Post-exertional malaise (PEM) has been recognized as one of the most frequent manifestations of PCC and is a diagnostic criterion of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Yet, its underlying pathomechanisms remain poorly elucidated.

    Results

    Upon physical activity, affected patients exhibit a reduced systemic oxygen extraction and oxidative phosphorylation capacity. Accumulating evidence suggests that these are mediated by dysfunctions in mitochondrial capacities and microcirculation that are maintained by latent immune activation, conjointly impairing peripheral bioenergetics. Aggravating deficits in tissue perfusion and oxygen utilization during activities cause exertional intolerance that are frequently accompanied by tachycardia, dyspnea, early cessation of activity and elicit downstrea

    Science Memes @mander.xyz
    Neurologist @mander.xyz

    🐊🐓🦖

    If you’re confused: Birds are dinosaurs, crocodiles aren’t; note the “closest living relatives

    Science Memes @mander.xyz
    Neurologist @mander.xyz

    All the evolutionary steps we will never know of...

    Poems @reddthat.com
    Neurologist @mander.xyz

    Plague Poems