Are medical errors really the third most common cause of death in the U.S.?
A regurgitation of existing data suggested that medical error is the third leading cause of death in America. Is it true? Spoiler alert! No. No it's not. While medical error can and should be reduced, this BMJ article does not justify claims that doctors are a leading cause of death in the United States.
Medical exemptions to vaccine mandates for sale after SB277! Get ’em before they’re gone!
When California passed SB 277 into law, eliminating personal belief exemptions to school vaccine requirements and permitting only personal medical exemptions, I predicted that antivaccine quacks would start issuing bogus medical exemptions. Unfortunately, I was right.
Reclassifying thyroid cancer and the willful misunderstanding of overdiagnosis
If there’s one lesson that we here at Science-Based Medicine like to emphasize, it’s that practicing medicine and surgery is complicated. Part of the reason that it’s complicated is that for many diseases our understanding is incomplete, meaning that physicians have to apply existing science to their treatment as well as they can. The biology of cancer, in particular, can be vexing....
Acupuncture does not work for menopause: A tale of two acupuncture studies
Arguably, one of the most popular forms of so-called “complementary and alternative medicine” (CAM) being “integrated” with real medicine by those who label their specialty “integrative medicine” is acupuncture. It’s particularly popular in academic medical centers as a subject of what I like to refer to as “quackademic medicine“; that is, the study of pseudoscience and quackery as though it were real...
Functional medicine: The ultimate misnomer in the world of integrative medicine
Functional medicine. It sounds so...scientific and reasonable. It's anything but. In fact, functional medicine combines the worst features of conventional medicine with a heapin' helpin' of quackery.
NCCIH Strategic Plan 2016-2021, or: Let’s try to do some real science for a change
It’s no secret that we at Science-Based Medicine (SBM) are not particularly fond of the National Center for Complementary and Integrative Health (NCCIH). Formerly known as the National Center for Complementary and Alternative Medicine (NCCAM) and before that the Office of Alternative Medicine, NCCIH has been the foremost government agency funding research into quackery for the last 24 years, and, of course,...
VAXXED and the Tribeca Film Festival: How Robert De Niro learned the hard way about Andrew Wakefield and the antivaccine movement
Disgraced antivaccine doctor, Andrew Wakefield, managed to pull another fast one. His antivaccine propaganda film, VAXXED, was mysteriously accepted for a screening at the Tribeca Film Festival. It turns out that TFF co-founder Robert De Niro had pulled some strings. The well-deserved backlash provides yet another example of how Andrew Wakefield discredits everything he touches.
The hijacking of evidence-based medicine
A hero of the blog, John Ioannidis, worries that evidence-based medicine has been hijacked, and when Ioannidis says something we at SBM listen. But has EBM been "hijacked"?
Confusing overdiagnosis for an “epidemic” of thyroid cancer in Japan after Fukushima
One of my favorite topics to blog about for SBM is the topic of overdiagnosis and overtreatment. These are two interrelated phenomena that most people are blissfully unaware of. Unfortunately, I’d also say that the majority of physicians are only marginally more aware than the public about these confounders of screening programs, if even that. Overdiagnosis has long been appreciated to be...