tag:blogger.com,1999:blog-11034229.post116523808170940453..comments2023-07-14T02:53:40.719-07:00Comments on retired doc's thoughts: Randomized trials are wonderful but beware of "evidence based paralysis"james gaultehttp://www.blogger.com/profile/05537303135780186926noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-11034229.post-1166023985281867262006-12-13T07:33:00.000-08:002006-12-13T07:33:00.000-08:00As a patient--who has rejected recommended treatme...As a patient--who has rejected recommended treatment because it was not evidence-based, I think that doctors are remarkably brittle in their thinking about this.<BR/><BR/>Whether anyone should undergo a procedure or take a drug for an off-label use should be a function of the available evidence (factored appropriately for whether it's the doctor's hunch or whether it's a randomized trial), the patient's desire/need for a treatment and his risk aversion. <BR/><BR/>Doctors seem obsessed with finding absolute decision rules or protocols. Unfortunately, their knowledge level does not allow such thingsAnonymousnoreply@blogger.com