Before, and after.

In the world of non-randomised studies there are a bucketload of variants, a common one that we see if the ‘before and after study’. This is, on the face of it, a sensible approach. Do your ‘thing’, then change stuff, do the ‘other thing’. Monitor something important you hope to change, and then if it […]

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Moving onwards

Not transition this time, but the whole focus of academia. Do we need to shift the everyday focus of research from universities producing complex lab science to every heath care provider being both an intelligent consumer and local producer of relevant research? For instance: which the following spend the greatest proportion of revenue on R&D […]

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Pilgrimage

Photo from Peter Harrison on Flickr Most communities will have one, two, or more campaigns running to raise money for a child with a health concern. It might be a cancer, a chronic disability or a neurodegenerative condition. The campaign is not for a charity which supports children with the condition in general, or research […]

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Where does EBM go without E?

I’ve recently been working with lots of folk who manage children with disability and long-term conditions (LTC), a massive group of heterogenously named conditions with sometime similar and sometimes different problems. The teams working with them are passionate and committed and frequently want to use research. Then they go looking for it. […]

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Can you actually believe the abstract?

There is a guilty thing that I have to admit doing. Frequently. And that’s just reading the abstract, not the full paper. (Generally this is in scooting through tangential stuff. Honest.) Well in the Journal of Evidence based Medicine, behind our BMJ paywall, is a lovely piece of primary research examining exactly how guilty we […]

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