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	<title>Comments on: Healing Touch and Coronary Bypass</title>
	<atom:link href="http://www.sciencebasedmedicine.org/?feed=rss2&#038;p=545" rel="self" type="application/rss+xml" />
	<link>http://www.sciencebasedmedicine.org/?p=545</link>
	<description>Exploring issues and controversies in the relationship between science and medicine</description>
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		<title>By: Science-Based Medicine &#187; Senator Tom Harkin and Representative Darrell Issa declare war on science-based medicine</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-28509</link>
		<dc:creator>Science-Based Medicine &#187; Senator Tom Harkin and Representative Darrell Issa declare war on science-based medicine</dc:creator>
		<pubDate>Mon, 27 Jul 2009 11:30:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-28509</guid>
		<description>[...] discussions of that bastion of what Harriet Hall likes to call &#8220;tooth fairy science,&#8221; where sometimes rigorous science, sometimes not, is applied to the study of hypotheses that [...]</description>
		<content:encoded><![CDATA[<p>[...] discussions of that bastion of what Harriet Hall likes to call &#8220;tooth fairy science,&#8221; where sometimes rigorous science, sometimes not, is applied to the study of hypotheses that [...]</p>
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		<title>By: Wholly Father</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-25164</link>
		<dc:creator>Wholly Father</dc:creator>
		<pubDate>Fri, 10 Jul 2009 00:02:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-25164</guid>
		<description>A variety of statistical sins were committed.   First of all, 6 outcome variables were evaluated. In the primary analysis and only 1 (anxiety score) was statistically significant at P=.04.  This was significant ONLY because the failed to adjust the P value for multiple endpoints.  If they had made the adjustment it would not have been significant.

The statistical significance of length of stay was found only when they did multiple pairwise comparisons between the 3 groups, which should require and additional adjustment of the threshold P-value.</description>
		<content:encoded><![CDATA[<p>A variety of statistical sins were committed.   First of all, 6 outcome variables were evaluated. In the primary analysis and only 1 (anxiety score) was statistically significant at P=.04.  This was significant ONLY because the failed to adjust the P value for multiple endpoints.  If they had made the adjustment it would not have been significant.</p>
<p>The statistical significance of length of stay was found only when they did multiple pairwise comparisons between the 3 groups, which should require and additional adjustment of the threshold P-value.</p>
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		<title>By: Michael Simpson</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-25151</link>
		<dc:creator>Michael Simpson</dc:creator>
		<pubDate>Thu, 09 Jul 2009 15:41:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-25151</guid>
		<description>Isn&#039;t this a typical strategy in CAM &quot;research&quot;?  Do just enough scientifically to show it works, and that&#039;s all anyone remembers.  Almost everyone here knows how to rip this study into pieces (I haven&#039;t taken a statistics class since many of you were born, but I retain enough knowledge to understand how weak the analysis is), but we&#039;re a self-selected group that knows how to do this.  Or, at least in my case, I know where to go to find out how to rip apart this study.

Once again, if there&#039;s no clear scientific basis for a CAM claim, I guess the existence of the Tooth Fairy, all the other &quot;research&quot; is just plain irrelevant.  Don&#039;t show me that something happens until you show me how.</description>
		<content:encoded><![CDATA[<p>Isn&#8217;t this a typical strategy in CAM &#8220;research&#8221;?  Do just enough scientifically to show it works, and that&#8217;s all anyone remembers.  Almost everyone here knows how to rip this study into pieces (I haven&#8217;t taken a statistics class since many of you were born, but I retain enough knowledge to understand how weak the analysis is), but we&#8217;re a self-selected group that knows how to do this.  Or, at least in my case, I know where to go to find out how to rip apart this study.</p>
<p>Once again, if there&#8217;s no clear scientific basis for a CAM claim, I guess the existence of the Tooth Fairy, all the other &#8220;research&#8221; is just plain irrelevant.  Don&#8217;t show me that something happens until you show me how.</p>
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		<title>By: skepchick</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24961</link>
		<dc:creator>skepchick</dc:creator>
		<pubDate>Thu, 09 Jul 2009 00:51:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24961</guid>
		<description>re: Citizen Deux

My dog IS better than healing touch, and I don&#039;t have a dog!</description>
		<content:encoded><![CDATA[<p>re: Citizen Deux</p>
<p>My dog IS better than healing touch, and I don&#8217;t have a dog!</p>
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		<title>By: nelder</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24890</link>
		<dc:creator>nelder</dc:creator>
		<pubDate>Wed, 08 Jul 2009 19:59:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24890</guid>
		<description>Ziembroski article is
Jessica Ziembroski, Neil Gilbert, Robert Bossarte, Michele Guldberg. 
Healing Touch and Hospice Care: Examining Outcomes at the End of Life
Alternative and Complementary Therapies. June 2003, 9(3): 146-151. doi:10.1089/107628003322017404.

in case anyone wants complete reference.  Not indexed in PubMed.</description>
		<content:encoded><![CDATA[<p>Ziembroski article is<br />
Jessica Ziembroski, Neil Gilbert, Robert Bossarte, Michele Guldberg.<br />
Healing Touch and Hospice Care: Examining Outcomes at the End of Life<br />
Alternative and Complementary Therapies. June 2003, 9(3): 146-151. doi:10.1089/107628003322017404.</p>
<p>in case anyone wants complete reference.  Not indexed in PubMed.</p>
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		<title>By: Mojo</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24727</link>
		<dc:creator>Mojo</dc:creator>
		<pubDate>Wed, 08 Jul 2009 07:29:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24727</guid>
		<description>&lt;blockquote&gt;The physical heart is REAL?!&lt;/blockquote&gt;

Only if we allow it to be, apparently.</description>
		<content:encoded><![CDATA[<blockquote><p>The physical heart is REAL?!</p></blockquote>
<p>Only if we allow it to be, apparently.</p>
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		<title>By: skidoo</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24717</link>
		<dc:creator>skidoo</dc:creator>
		<pubDate>Wed, 08 Jul 2009 03:28:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24717</guid>
		<description>the metaphoric and physical heart are both very real

The physical heart is &lt;b&gt;&lt;em&gt;REAL?!&lt;/em&gt;&lt;/b&gt; Now that&#039;s just crazy talk. :-)

Enjoyed the article (as usual), Dr. Hall. Excellent slicing-and-dicing.</description>
		<content:encoded><![CDATA[<p>the metaphoric and physical heart are both very real</p>
<p>The physical heart is <b><em>REAL?!</em></b> Now that&#8217;s just crazy talk. <img src='http://www.sciencebasedmedicine.org/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>Enjoyed the article (as usual), Dr. Hall. Excellent slicing-and-dicing.</p>
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		<title>By: qetzal</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24716</link>
		<dc:creator>qetzal</dc:creator>
		<pubDate>Wed, 08 Jul 2009 01:35:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24716</guid>
		<description>Quantum Touch? I love it!

Does that mean touch is quantized? Does the Toucher become entangled with the Touchee?

Can we have spooky touch at a distance? Oh, wait. That&#039;s what they&#039;re doing already.

How about Schrodinger&#039;s Touch - you can&#039;t know if you&#039;ve been touched or not until you look in your wallet.

:^D</description>
		<content:encoded><![CDATA[<p>Quantum Touch? I love it!</p>
<p>Does that mean touch is quantized? Does the Toucher become entangled with the Touchee?</p>
<p>Can we have spooky touch at a distance? Oh, wait. That&#8217;s what they&#8217;re doing already.</p>
<p>How about Schrodinger&#8217;s Touch &#8211; you can&#8217;t know if you&#8217;ve been touched or not until you look in your wallet.</p>
<p>:^D</p>
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		<title>By: sj</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24715</link>
		<dc:creator>sj</dc:creator>
		<pubDate>Wed, 08 Jul 2009 01:11:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24715</guid>
		<description>I can&#039;t access the study so these are just questions. In addition to the prior probability issue, there is the multiple comparisons issue. These people ran a lot of t-tests; did they correct for multiple comparisons? The rather random distribution of significant results is typical of what one finds when there is no real relationship and no controls for multiple comparison have been employed.</description>
		<content:encoded><![CDATA[<p>I can&#8217;t access the study so these are just questions. In addition to the prior probability issue, there is the multiple comparisons issue. These people ran a lot of t-tests; did they correct for multiple comparisons? The rather random distribution of significant results is typical of what one finds when there is no real relationship and no controls for multiple comparison have been employed.</p>
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		<title>By: Zetetic</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24712</link>
		<dc:creator>Zetetic</dc:creator>
		<pubDate>Tue, 07 Jul 2009 22:51:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24712</guid>
		<description>BTW - There is &quot;Healing Touch&quot; and &quot;Therapeutic Touch&quot; and they are two different hostile camps.  Dolores Krieger is the RN who theorized and developed the Therapeutic Touch methodology while another RN, Janet Mentgen, developed a parallel method called Healing Touch.  They don&#039;t like each other.  There&#039;s also an offshoot of this woo called Quantum Touch.</description>
		<content:encoded><![CDATA[<p>BTW &#8211; There is &#8220;Healing Touch&#8221; and &#8220;Therapeutic Touch&#8221; and they are two different hostile camps.  Dolores Krieger is the RN who theorized and developed the Therapeutic Touch methodology while another RN, Janet Mentgen, developed a parallel method called Healing Touch.  They don&#8217;t like each other.  There&#8217;s also an offshoot of this woo called Quantum Touch.</p>
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		<title>By: pmoran</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24707</link>
		<dc:creator>pmoran</dc:creator>
		<pubDate>Tue, 07 Jul 2009 22:21:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24707</guid>
		<description>Speaking of NCCAM studies, Any more word about any data from the Gonzales and pancreatic cancer one?</description>
		<content:encoded><![CDATA[<p>Speaking of NCCAM studies, Any more word about any data from the Gonzales and pancreatic cancer one?</p>
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		<title>By: happyhumanist</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24619</link>
		<dc:creator>happyhumanist</dc:creator>
		<pubDate>Tue, 07 Jul 2009 18:48:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24619</guid>
		<description>Does anyone know how to get hold of completed NCCAM studies that haven&#039;t been published in journals?  It is my understanding (I did some research on this a few years ago) that all studies done under these grants have to be filed with NCCAM but don&#039;t have to be published.  Still, these should be public records (created with public money, no?) so should be somewhere we can see them.

Specifically, Sharon McDonough-Means and Iris Bell condicted a study on theraputic touch for stressed neonates.  This, I think, if it was conducted correctly, is a brilliant strategy.  Babies don&#039;t know or care if you are non-touching them and can&#039;t be influenced by the process.  Anyway, the study, ClinicalTrials.gov identifier: NCT00034008, is completed.  I can&#039;t find where on the NCCAM site these filed reports are located.  But the information on the study protocols are here: 

 http://clinicaltrials.gov/ct2/show/NCT00034008?term=%28NCCAM%29+%5BSPONSOR%5D+%28completed%29+%5BOVERALL-STATUS%5D+OR+%28NCCAM%29+%5BSPONSOR%5D+%28suspended%29+%5BOVERALL-STATUS%5D+OR+%28NCCAM%29+%5BSPONSOR%5D+%28terminated%29+%5BOVERALL-STATUS%5D&amp;rank=23

Sorry, that&#039;s long!!

Does anyone know how to access the completed study?</description>
		<content:encoded><![CDATA[<p>Does anyone know how to get hold of completed NCCAM studies that haven&#8217;t been published in journals?  It is my understanding (I did some research on this a few years ago) that all studies done under these grants have to be filed with NCCAM but don&#8217;t have to be published.  Still, these should be public records (created with public money, no?) so should be somewhere we can see them.</p>
<p>Specifically, Sharon McDonough-Means and Iris Bell condicted a study on theraputic touch for stressed neonates.  This, I think, if it was conducted correctly, is a brilliant strategy.  Babies don&#8217;t know or care if you are non-touching them and can&#8217;t be influenced by the process.  Anyway, the study, ClinicalTrials.gov identifier: NCT00034008, is completed.  I can&#8217;t find where on the NCCAM site these filed reports are located.  But the information on the study protocols are here: </p>
<p> <a href="http://clinicaltrials.gov/ct2/show/NCT00034008?term=%28NCCAM%29+%5BSPONSOR%5D+%28completed%29+%5BOVERALL-STATUS%5D+OR+%28NCCAM%29+%5BSPONSOR%5D+%28suspended%29+%5BOVERALL-STATUS%5D+OR+%28NCCAM%29+%5BSPONSOR%5D+%28terminated%29+%5BOVERALL-STATUS%5D&amp;rank=23" rel="nofollow">http://clinicaltrials.gov/ct2/show/NCT00034008?term=%28NCCAM%29+%5BSPONSOR%5D+%28completed%29+%5BOVERALL-STATUS%5D+OR+%28NCCAM%29+%5BSPONSOR%5D+%28suspended%29+%5BOVERALL-STATUS%5D+OR+%28NCCAM%29+%5BSPONSOR%5D+%28terminated%29+%5BOVERALL-STATUS%5D&amp;rank=23</a></p>
<p>Sorry, that&#8217;s long!!</p>
<p>Does anyone know how to access the completed study?</p>
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		<title>By: Karl Withakay</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24613</link>
		<dc:creator>Karl Withakay</dc:creator>
		<pubDate>Tue, 07 Jul 2009 18:35:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24613</guid>
		<description>JMG, I sort of covered that in my last reply.</description>
		<content:encoded><![CDATA[<p>JMG, I sort of covered that in my last reply.</p>
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		<title>By: whitecoattales</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24601</link>
		<dc:creator>whitecoattales</dc:creator>
		<pubDate>Tue, 07 Jul 2009 17:52:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24601</guid>
		<description>@Citizen Deux

I don&#039;t have a citation or anything for you, but you may get what you want. My institution has a med student volunteer organization that brings dogs (who have undergone some sort of training/obedience course especially for the program) into the hospital. 
I understand one of the med students is attempting to find funding to study if it has any actual effect beyond a social one. The med students running the group don&#039;t seem to have any illusions about this though, they&#039;re just happy the patients are smiling, they don&#039;t pretend to have treated anyone.</description>
		<content:encoded><![CDATA[<p>@Citizen Deux</p>
<p>I don&#8217;t have a citation or anything for you, but you may get what you want. My institution has a med student volunteer organization that brings dogs (who have undergone some sort of training/obedience course especially for the program) into the hospital.<br />
I understand one of the med students is attempting to find funding to study if it has any actual effect beyond a social one. The med students running the group don&#8217;t seem to have any illusions about this though, they&#8217;re just happy the patients are smiling, they don&#8217;t pretend to have treated anyone.</p>
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		<title>By: JMG</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24583</link>
		<dc:creator>JMG</dc:creator>
		<pubDate>Tue, 07 Jul 2009 16:56:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24583</guid>
		<description>We&#039;re missing the real problem with sham healing touch, how do you prevent the practitioner from cheating by having helpful thoughts after all?  You wouldn&#039;t be able to distinguish your treatment from your control.</description>
		<content:encoded><![CDATA[<p>We&#8217;re missing the real problem with sham healing touch, how do you prevent the practitioner from cheating by having helpful thoughts after all?  You wouldn&#8217;t be able to distinguish your treatment from your control.</p>
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		<title>By: Citizen Deux</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24558</link>
		<dc:creator>Citizen Deux</dc:creator>
		<pubDate>Tue, 07 Jul 2009 16:06:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24558</guid>
		<description>A dog is better than healing touch...I would like to run that study.</description>
		<content:encoded><![CDATA[<p>A dog is better than healing touch&#8230;I would like to run that study.</p>
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		<title>By: Karl Withakay</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24531</link>
		<dc:creator>Karl Withakay</dc:creator>
		<pubDate>Tue, 07 Jul 2009 15:13:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24531</guid>
		<description>Of course, if they had used sham/mock HT, I think we can all guess how that would have turned out.  

The mock/sham HT group would be no different from the &quot;real&quot; HT group, and the researchers would conclude that the mock/sham HT was also effective, possibly because the practitioners could not help willing good intentions to the subjects or stop their energy fields form positively interacting with the subjects&#039; energy fields due to their inherently positive intentions.</description>
		<content:encoded><![CDATA[<p>Of course, if they had used sham/mock HT, I think we can all guess how that would have turned out.  </p>
<p>The mock/sham HT group would be no different from the &#8220;real&#8221; HT group, and the researchers would conclude that the mock/sham HT was also effective, possibly because the practitioners could not help willing good intentions to the subjects or stop their energy fields form positively interacting with the subjects&#8217; energy fields due to their inherently positive intentions.</p>
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		<title>By: Newcoaster</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24528</link>
		<dc:creator>Newcoaster</dc:creator>
		<pubDate>Tue, 07 Jul 2009 15:07:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24528</guid>
		<description>Thanks for this critique.  Yet another biased, error ridden study which doesn&#039;t prove what the sCAMmers think it does.

I have a particular interest in HT, as it was an attempt to get it officially sanctioned in my little rural hospital that turned me from a closet skeptic, to an activist.  Yes, we are still (officially) a woo woo free hospital.  

I pointed out at the time that all they were really claiming to do was make patients feel more relaxed and less anxious, and we could accomplish the same thing by allowing by allowing pets to visit.

Looking forward to the SBM conference at TAM7.  See you on Thursday.</description>
		<content:encoded><![CDATA[<p>Thanks for this critique.  Yet another biased, error ridden study which doesn&#8217;t prove what the sCAMmers think it does.</p>
<p>I have a particular interest in HT, as it was an attempt to get it officially sanctioned in my little rural hospital that turned me from a closet skeptic, to an activist.  Yes, we are still (officially) a woo woo free hospital.  </p>
<p>I pointed out at the time that all they were really claiming to do was make patients feel more relaxed and less anxious, and we could accomplish the same thing by allowing by allowing pets to visit.</p>
<p>Looking forward to the SBM conference at TAM7.  See you on Thursday.</p>
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		<title>By: Karl Withakay</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24527</link>
		<dc:creator>Karl Withakay</dc:creator>
		<pubDate>Tue, 07 Jul 2009 15:05:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24527</guid>
		<description>&quot;These researchers rejected that approach because they didn’t think it would be ethical to offer a sham procedure where the practitioner only “pretended” to help.&quot;

They apparently don&#039;t understand how blinded or double blinded RCTs work, or perhaps they consider them all unethical.

As long as it is disclosed to the study subjects that they are being randomized in to a group that may receive either real or sham/mock treatment, there is no ethical problem.  It is not exactly the best ethics in the world intentionally exclude a control (mock/sham treatment) that would increase the quality of the study and its results.

If the practitioners are so convinced of the efficacy of their therapy that they feel it is unethical to offer sham treatment, why do they think it is any more ethical to withhold supposedly effective treatment at all?</description>
		<content:encoded><![CDATA[<p>&#8220;These researchers rejected that approach because they didn’t think it would be ethical to offer a sham procedure where the practitioner only “pretended” to help.&#8221;</p>
<p>They apparently don&#8217;t understand how blinded or double blinded RCTs work, or perhaps they consider them all unethical.</p>
<p>As long as it is disclosed to the study subjects that they are being randomized in to a group that may receive either real or sham/mock treatment, there is no ethical problem.  It is not exactly the best ethics in the world intentionally exclude a control (mock/sham treatment) that would increase the quality of the study and its results.</p>
<p>If the practitioners are so convinced of the efficacy of their therapy that they feel it is unethical to offer sham treatment, why do they think it is any more ethical to withhold supposedly effective treatment at all?</p>
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		<title>By: Kimball Atwood</title>
		<link>http://www.sciencebasedmedicine.org/?p=545&#038;cpage=1#comment-24505</link>
		<dc:creator>Kimball Atwood</dc:creator>
		<pubDate>Tue, 07 Jul 2009 14:18:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=545#comment-24505</guid>
		<description>

&lt;blockquote&gt;...that would incentivize me to get out of there ASAP whether I was fully healed or not.&lt;/blockquote&gt;


Me, too. 



&lt;blockquote&gt;Their choice of statistical techniques is highly dubious.&lt;/blockquote&gt;


Nothing to say of their interpretation of those highly dubious statistics, even if they were valid. Look at yesterday&#039;s post by David G. and consider how prior probability figures in whether or not we are justified in concluding that &#039;statistical significance&#039; implies a true hypothesis. From &lt;a href=&quot;http://www.bepress.com/cgi/viewcontent.cgi?article=1135&amp;context=jhubiostat&quot; rel=&quot;nofollow&quot;&gt;this paper&lt;/a&gt; (Table 2) we see that a P value of 0.01 for data from a study of a hypothesis whose prior probability was 1% (much higher than a reasonable prior probability of a hypothesis based on psychokinesis, by the way) will raise the posterior probability to (only) 13%. That is a far cry from from the 99% that most people, even in academic medicine, imagine to be the case. 

When you add all the other design problems with this HT study (no blinding, probably no allocation concealment, no credible control group as Harriet pointed out, etc.), it is reasonable to put it in &lt;a href=&quot;http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&amp;pubmedid=16060722&quot; rel=&quot;nofollow&quot;&gt;Ioannidis&#039;s &lt;/a&gt;category of very high &#039;bias&#039;, which makes the result of this study entirely, well, useless--although it could be useful as a disconfirming study, but that would require greater interpretive powers than, apparently, exist in the field of &#039;academic CAM.&#039; 

Given all that, by the way, here&#039;s another topic for a blog: how the National Library of Medicine &lt;a href=&quot;http://www.sram.org/0802/editorial.html&quot; rel=&quot;nofollow&quot;&gt;chooses &#039;CAM&#039; journals&lt;/a&gt; for indexing.</description>
		<content:encoded><![CDATA[<blockquote><p>&#8230;that would incentivize me to get out of there ASAP whether I was fully healed or not.</p></blockquote>
<p>Me, too. </p>
<blockquote><p>Their choice of statistical techniques is highly dubious.</p></blockquote>
<p>Nothing to say of their interpretation of those highly dubious statistics, even if they were valid. Look at yesterday&#8217;s post by David G. and consider how prior probability figures in whether or not we are justified in concluding that &#8217;statistical significance&#8217; implies a true hypothesis. From <a href="http://www.bepress.com/cgi/viewcontent.cgi?article=1135&#038;context=jhubiostat" rel="nofollow">this paper</a> (Table 2) we see that a P value of 0.01 for data from a study of a hypothesis whose prior probability was 1% (much higher than a reasonable prior probability of a hypothesis based on psychokinesis, by the way) will raise the posterior probability to (only) 13%. That is a far cry from from the 99% that most people, even in academic medicine, imagine to be the case. </p>
<p>When you add all the other design problems with this HT study (no blinding, probably no allocation concealment, no credible control group as Harriet pointed out, etc.), it is reasonable to put it in <a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&#038;pubmedid=16060722" rel="nofollow">Ioannidis&#8217;s </a>category of very high &#8216;bias&#8217;, which makes the result of this study entirely, well, useless&#8211;although it could be useful as a disconfirming study, but that would require greater interpretive powers than, apparently, exist in the field of &#8216;academic CAM.&#8217; </p>
<p>Given all that, by the way, here&#8217;s another topic for a blog: how the National Library of Medicine <a href="http://www.sram.org/0802/editorial.html" rel="nofollow">chooses &#8216;CAM&#8217; journals</a> for indexing.</p>
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