Standing up to Ballantyne and the BMJ Hacks...

[drusso]

What's the best way to do this?

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[lobelsteve]

ASPN guidelines and X/Linked-In.
Soon to be published IPSIS commentary.

 

[DOctorJay]

https://cdn.ymaws.com/www.ipsismed.org/resource/resmgr/advocacy/25/Multisociety_Statement_on_BM.pdf

"Our Recommendations

1. Balanced Authorship: Future systematic reviews, meta-analyses, and guideline development should involve balanced panels with participants from different training backgrounds and specialties, including both methodological experts and clinicians experienced in performing interventional procedures who bring important clinical context to the efforts.

2. Enhanced Study Design and Execution: Future systematic reviews and meta-analyses should:
● Ensure appropriate grouping of studies by patient population, spinal region, diagnosis, procedure type, and technique.
● Ensure the intervention meets current technical standards.

3. Broader Evidence Inclusion When RCT Data are Lacking: Clinical guideline development must recognize the limitations of the supporting systematic review and incorporate well-designed prospective studies when RCT data are lacking.

4. Policy Implications: Policies regarding coverage and access to interventional pain procedures must consider the nuanced evidence supporting their use. Denial of these procedures based on inaccurate interpretations of existing data will drive patients toward more invasive, more expensive, and riskier treatments and remove options known to be safe and effective.

5. The BMJ Clinical Practice Guideline Retraction: Given the methodological issues discussed above and concerns regarding policy implications, we urge The BMJ to retract the flawed guideline publication."

 

[DoYouEvenLiftBro]

Most Treatments for Lower Back Pain Don’t Really Work, Study Finds

Researchers looked at 56 treatments for acute and chronic pain. Few of them were effective.

www.nytimes.com

I don’t have access to the original bmj article they’re citing, but in this article and a few other news outlets that posted similar yesterday, they don’t mention injections, so it’s misleading, shocker.

 

[nvrsumr]

Anybody have access to the original article they can share? Have a med student this month and wanted to go over and the rebuttal thats linked to this thread.

Thanks

 

[$hadow]

Most Treatments for Lower Back Pain Don’t Really Work, Study Finds

Researchers looked at 56 treatments for acute and chronic pain. Few of them were effective.

www.nytimes.com

I don’t have access to the original bmj article they’re citing, but in this article and a few other news outlets that posted similar yesterday, they don’t mention injections, so it’s misleading, shocker.

Anybody have access to the original article they can share? Have a med student this month and wanted to go over and the rebuttal thats linked to this thread.

Thanks

Analgesic effects of non-surgical and non-interventional treatments for low back pain: a systematic review and meta-analysis of placebo-controlled randomised trials and can be downloaded from HERE with an account for free.

This is the research they are referencing I believe, according to Only 10% of non-surgical treatments for back problems kill pain, says review.

 

[nvrsumr]

Thanks for the link. Couldnt be verified as a researcher with a personal email.

 

[$hadow]

Thanks for the link. Couldnt be verified as a researcher with a personal email.

That is weird, I didn't need a specific email... anyhow I PM'ed you.

Edit: May as well share here for everyone else: Download