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Dan...'s avatar

The problem may be more serious than just a clickbait title or misformulated abstract here and there. Published papers tend to be the source of “approved” medical knowledge. The healthcare community don’t have time, resources or capacity to experiment on the human body, so they naturally derive their working knowledge from the canon of “peer-reviewed” truths. Most of them may even be unaware of the traps in methodology. They are simply buying the headlines in the blind and apply them in their work. They may even not read the conclusions - why should they if they found 250 studies on “drug xx improving condition yy”. The numbers and desired effects will win over curiosity, professional due diligence or time constraints.

In the long run, the HCWs community will grow its own “knowledge” based on catch phrases and metrics of papers, without ever checking on their credibility. The patient will disappear (has already disappeared?) from the equation. How dare you not to improve if doctors x, y, and z wrote clearly that you should? Either you do not follow the recommendations (an easy one) or you are genetically broken (an easy one) or there is something else wrong with you (an easy one). The doctor(s) will feel relieved of the responsibility for actually seeing the patient and solving his puzzle.

This growing fake knowledge will eventually find its way back into medical handbooks - which are basically compilations of small-size articles on selected subjects, written by a narrow group of authors. Reports from the front lines will drown under the burden of routine statements with nice graphics, “justified” by big names in the medical journal world.

Patients will naturally slide into avoiding medical consultation because of its uselessness, cost, waste of time, and irrelevance to their actual condition (already happening). The gap will grow. Theory has been increasing exponentially, while the actual, real-world experience is becoming an outcast. The solution? Obvious: increase funding of research (free money, anyway, taken from taxpayers’ pockets), which will more increase the publication load, and the spiral will continue…

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ClearMiddle's avatar

I enjoyed your post, but maybe not for the right reasons. I spent quite a bit of time 15 years ago, give or take, looking into misleading nutrition-related studies. I subscribed to a service that would let me "rent" paywalled research reports, and I went at it. What a mess. Even with my limited background, I could spot all kinds of problems to which the peer reviewers seemed to be immune. So yes, I'm chuckling now as you dig into these things.

One interesting analysis that I came across back in those days was that researchers, while bound by certain rules when publishing their reports, were not similarly bound when writing press releases about those reports. So they could play by the rules within the reports (never mind the quality of the research), but they could pretty much say what they really wanted to prove (and didn't) in the press release. The "science journalists", of course, would read the press releases and report on that.

Going back 25 years, I remember coming across vegan fake meat. I was a vegan back then, and I looked at the ingredients in some of these things I came across on store shelves, and I was very disappointed. I made vegan replacements from scratch, like nut milks and cheeses, not really attempting to imitate the dairy versions, but fake vegan meat was not on my menu, either before or after reading the labels.

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