BIO SCI D124 Lecture : D124 Lec 3.docx

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11 Sep 2013
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Who you see is what you get; take expert prouncements with grain of salt. Trivial but statically significant results common; con census in real work. Mid: smallest difference patient perceive as beneficial and which would mandate. Sid: smallest patient valued difference that an intervention would require to justify associated costs, risks, and other harms (higher bar because there are more parts; real world difference) Other pitfalls: growing concern over trivial treatment effects. Support a 45 y/o pt has 1010 back pain, doesn"t work, and take opioids for pain relief, cant do shit. Then 7/10 paint, doesn"t work, and doesn"t do shit and still takes opioids. Clinical trials for pain often report statistically significant results; hard to determine if clinical important. Carragee: surgery pt, expect to be nearly pain free, back to work, off opioids, by these criteria not many successes. A cohort study or panel study is a form of longitudinal.

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