"Is Cybermedicine Killing You?" - Cochrane Collaboration Needs to Restore Confidence
Author(s) -
Myron L. Pulier
Publication year - 2005
Publication title -
journal of medical internet research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.446
H-Index - 142
eISSN - 1439-4456
pISSN - 1438-8871
DOI - 10.2196/jmir.7.4.e37
Subject(s) - faith , feeling , enthusiasm , psychology , skepticism , loyalty , value (mathematics) , social psychology , regret , medicine , law , epistemology , political science , philosophy , computer science , machine learning
I sat there agog reading your well-written, balanced, restrained, and devastating editorial on the "Cochrane disaster" [1]. I come away with the feeling that something is very wrong at Cochrane, and I'm extremely curious as to what it might be. Cochrane seems like such a good idea — so dignified, honorable, and professional — how could people get so sloppy and cavalier? If their false conclusions were of political value (defending a war, a contract, a questionable appointment) one would feel certain of having come across another outrageous conspiracy. But I can't imagine what cabal would substantially profit from finding that educating patients degrades their medical outcome. Was this just initial negligence, inattention, and then a sudden steamroller effect when a surprising finding reported by a bumbling research assistant seemed so novel and newsworthy that it attracted a misguided enthusiasm and loyalty that blinded all the participants to reality, with a perfunctory referee ritual proving inadequate to catch the errors? I've been expressing skepticism about evidence-based medical practice at our departmental meetings but was gradually being won over by that approach, but now...whose evidence? Meta-analyzed by whom? I'm not competent to understand meta-analyses and sort of took them on faith. Fie on that.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom