Interesting.Written by a psychiatrist who works at Optum Center for Research and Innovation. its like a standard peer to peer except on paper. summary: nothing works for low back pain and insurance should stop covering it.
In other news, I, pain management physician, made a word document that cites hand selected studies that show no antipsychotics work but lobotomies have always worked for mental disorders since surgery is a cure.
conflict of interest disclosure: none (how about the fact that you work for the ****ing insurance companies?!)
this concludes today's session of old man yells at cloud. thank you.
I also take issue with grouping all low back pain into one clinical entity. How can you say no benefit from kyphoplasty in compression fractures, simply insane.
we all can complain but the reason why there has been and always will be negative studies regarding what we do is that we rely almost exclusively on subjective outcome measures.
also, we dont cure people or prevent them from worsening illness. your asthma example - inhalers/insulin/anti-hypertensives prevent hospitalizations and death. we dont...
the only other field like this is psychiatry
(fyi for hypertensives, literature suggests that ACE inhibitors are one of the few classes of drugs that have shown to reduce "all cause death"...)
I don’t have a subscription because the NYT went full left wing propaganda machine in 2017.
First they came for my needles...
But honestly, most fields are struggling with showing value for their efforts
Rehash of this paper:I don’t have a subscription because the NYT went full left wing propaganda machine in 2017.
Can you post a transcript?