Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians:
Fairly frequently we who are sub-, or sub-sub- specialised will look at some research which we don’t want to agree with and say “But it doesn’t apply to My Special Darlings!”. And most of the time we’re wrong - after all, children who present with the same condition often have the same condition, regardless...
Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians:
Fairly frequently we who are sub-, or sub-sub- specialised will look at some research which we don’t want to agree with and say “But it doesn’t apply to My Special Darlings!”. And most of the time we’re wrong - after all, children who present with the same condition often have the same condition, regardless of what else they’re having going on at the same time. Sometimes there might be a feature which meaningfully alter disease trajectory in respect of the new illness though, and we need to ask: “Are my darlings different?”. That query is investigated this month https://adc.bmj.com/content/109/10/861.1
We also ask the questions “When should we stop?”, and “How should we decide?” - https://adc.bmj.com/content/109/10/861.2
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