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In Memoriam: Jessie Gruman

July 17, 2014

I did not know Jessie Gruman for very long, and I met her in person only four times, but I find myself grieving deeply to have lost a friend so soon. From the moment I first saw her, it was instantly clear that she was simply extraordinary. When we asked her to participate in our last conference in December…

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Editorial: Defending Good Science

July 16, 2014

Cholesterol-lowering statins are the best selling drugs in the history of the world, despite recent controversy about whether or not they should be used in healthy people at low risk for heart attacks and strokes. Now there’s a new wrinkle in this argument…

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Open Letter to the BMJ

June 30, 2014

The following letter was prepared by a group of physicians, scientists, and others in response to the controversy about two recent articles in the BMJ on the use of statins for primary prevention of heart disease.

“The BMJ stands out among the top medical journals of the world as a beacon in the best tradition of science through its willingness to publish articles and studies that question orthodoxy. …”

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A “crisis” in evidence-based medicine (and a roadmap), conflicted surgeons, and a NICE update on Sovaldi

June 27, 2014
RightCare Weekly

Evidence-based medicine “in crisis,” but BMJ authors have a roadmap… Surgeons in physician-owned distributorships profit from device sales… An update on Sovaldi… HAC penalties might be targeting the wrong hospitals… Survival rates don’t mean US health care is better… Trust can overcome defensive medicine… ACOs risk driving up prices for private insurers… Advance directives are important, but doctors need to expect and look for them…

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“Victims of friendly fire,” time to “jump in the boat,” & misleading cancer advertising

June 13, 2014
RightCare Weekly

Dr. David Newman, who was featured in last week’s roundup writing on statins, highlights an incredibly important paper by Drs. Harlan Krumholz and Allan Detsky assessing how hospitals can help patients avoid “post-hospital syndrome.” Krumholz has written before about how disruptive hospital care can be for patients – meaning even after they’ve gotten over their illness, sometimes patients need additional time to recover from the stress of a hospital stay. There are ways to avoid the problems patients experience after hospitalizations…

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Overdiagnosed babies, NNTs, and the war on statin science

June 6, 2014
RightCare Weekly

Earlier this week, Aaron E. Carroll of The Incidental Economist wrote at The Upshot on how definitions of disease have broadened, leading more and more people to be diagnosed with conditions that don’t necessarily cause real problems. The article is an important example of the broader concept of overdiagnosis…

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