JAMA is an Embarrassment

[lobelsteve]

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Acupuncture vs Sham Acupuncture for Chronic Sciatica From Herniated Disk

This multicenter randomized clinical trial investigates the efficacy and safety of acupuncture compared with sham acupuncture in patients with chronic sciatica from herniated disk.

www.doximity.com

All acupuncture is sham acupuncture.

 

[PinchandBurn]

Acupuncture vs Sham Acupuncture for Chronic Sciatica From Herniated Disk

This multicenter randomized clinical trial investigates the efficacy and safety of acupuncture compared with sham acupuncture in patients with chronic sciatica from herniated disk.

www.doximity.com

All acupuncture is sham acupuncture.

Not according to this..

 

[Doctodd]

You read this? I’d rather read the Atlantic.

 

[lobelsteve]

Not according to this..

Look up tooth fairy science.

 

[gaseous_clay]

Wanted to see what they characterized as sham acupuncture. NEJM published a study comparing sham facet injections to vertebroplasty, concluding there was no difference in pain outcomes.

 

[bedrock]

Wanted to see what they characterized as sham acupuncture. NEJM published a study comparing sham facet injections to vertebroplasty, concluding there was no difference in pain outcomes.

JAMA is a laughingstock

 

[gaseous_clay]

JAMA is a laughingstock

they would be out of business if it weren’t for that CPT code license.

 

[Ducttape]

what is the audience for JAMA?

i am guessing it is not highly paid pain physicians or even surgeons.

out of the 950,000 or so physicians in the US, only 6000 are pain. over 1/3 of all physicians are internal medicine, pediatrics or family medicine.120k are internal medicine, and 118k are family med. roughly 79,000 are surgeons, 42,000 are obgyn.

 

[mdo1738]

what is the audience for JAMA?

i am guessing it is not highly paid pain physicians or even surgeons.

out of the 950,000 or so physicians in the US, only 6000 are pain. over 1/3 of all physicians are internal medicine, pediatrics or family medicine.120k are internal medicine, and 118k are family med. roughly 79,000 are surgeons, 42,000 are obgyn.

People who like to read woke nonsense

 

[hyperalgesia]

Class action lawsuit for market monopoly on procedure codes.

How is that not an antitrust violation?

 

[gaseous_clay]

Class action lawsuit for market monopoly on procedure codes.

How is that not an antitrust violation?

This is exactly what I’ve been thinking about. They have no competition so their licensing agreement is in perpetuity.

 

[Ferrismonk]

what is the audience for JAMA?

i am guessing it is not highly paid pain physicians or even surgeons.

out of the 950,000 or so physicians in the US, only 6000 are pain. over 1/3 of all physicians are internal medicine, pediatrics or family medicine.120k are internal medicine, and 118k are family med. roughly 79,000 are surgeons, 42,000 are obgyn.

Audience is medical students and residents. They make up 47% of the membership.
An additional 22% of the membership is over age 65.

So only 31% of members are "active". 10% of that are within the first 8 years of practice.

Ultimately only 21% of membership are established physicians.

For fun, using the numbers you posted and assuming it's a representative specialty split (which I'm sure it's not):

6000/950K = 0.6% docs are pain specialists in US
271K AMA members x 31% active members x 0.6% pain docs = 505 active pain docs

So either they're courting the 505 pain doc members or the trainees.

 

[hyperalgesia]

Audience is medical students and residents. They make up 47% of the membership.
An additional 22% of the membership is over age 65.

So only 31% of members are "active". 10% of that are within the first 8 years of practice.

Ultimately only 21% of membership are established physicians.

For fun, using the numbers you posted and assuming it's a representative specialty split (which I'm sure it's not):

6000/950K = 0.6% docs are pain specialists in US
271K AMA members x 31% active members x 0.6% pain docs = 505 active pain docs

So either they're courting the 505 pain doc members or the trainees.

The AMA is really a quasi-government agency imo. They provide PR cover to government and insurance companies and, in exchange, enjoy monopoly leverage selling CPT code licenses.

Ideally, you could have an open source Service Code library to replace CPT codes and be free. But government and insurance companies don't want that because the AMA is in their pocket.

 

[Ducttape]

my point, again, is why court 505 docs, when they can (and financially, should) go after primary care?

For fun, using the numbers you posted and assuming it's a representative specialty split (which I'm sure it's not):

if you doubt my data, well find better data.

U.S. Physician Workforce Data Dashboard

The U.S. Physician Workforce Data Dashboard provides the most current data available about the physician workforce across specialties.

www.aamc.org

 

[hyperalgesia]

The guy in this movie uses acupuncture to control his empathy, so he can be a better detective and not fall prey to his emotions...

Watch Dragon | Prime Video

Liu Jin-xi (Donnie Yen) is a village craftsman whose quiet life is irrevocably shattered by the arrival of two notorious gangsters in the local general store.

www.amazon.com

 

[bubaghanush]

Acupuncture works, it's placebo. Who cares if they call it sham or not. Doesn't look like it was blinded.

 

[lobelsteve]

Acupuncture works, it's placebo. Who cares if they call it sham or not. Doesn't look like it was blinded.

Don’t science much?

 

[bubaghanush]

Don’t science much?

Maybe this will help:

The Placebo Effect: What Is It?

WebMD explains what the placebo effect is, how it works, and its potential benefits for medical treatment.

www.webmd.com

 

[lobelsteve]

Maybe this will help:

The Placebo Effect: What Is It?

WebMD explains what the placebo effect is, how it works, and its potential benefits for medical treatment.

www.webmd.com

Start here:


Then listen to his multiple acupuncture lectures.

 

[MitchLevi]

Yall ever read the article where the doctor used acupuncture instead of anesthesia for a surgery he was undergoing? He had a CVA.