Finding “the best” way

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Yet another study announced which aims to find “the” best way – this time the best way to treat anorexia nervosa. As reported in The Age:

Australian researchers will conduct a world-first study to find the optimal treatment for the debilitating, and often deadly, disorder anorexia nervosa. Around one in five people, usually women,

Read the whole post –> Finding “the best” way

What constitutes “evidence”? Implications for cutting-edge, tailored treatments, and small sub-populations

In the medical profession in particular, there are some very rigid beliefs about what constitutes good enough “evidence of effectiveness” to justify offering, recommending, allowing patients to try, or even just not vehemently opposing a particular type of treatment for a patient. There are some glimmers of hope in other sectors (e.g. in the Best Evidence Synthesis work here in New Zealand). But there are still three areas where there are very serious challenges in building a credible evidence base given the kinds of constraints and realities surrounding them. They are: (1) cutting-edge treatments; (2) treatments that are by their very nature tailored/individualized rather than standardized across patients or populations; and (3) learning what works for small sub-populations

Read the whole post –> What constitutes “evidence”? Implications for cutting-edge, tailored treatments, and small sub-populations