Tuesday, August 18, 2009

Evidence-based medicine

Two studies (here and here) published in the NEJM have received a lot of attention during the past few weeks. Essentially, two multicenter, randomized, double-blind, placebo-controlled trials showed no difference in outcomes between vertebroplasty (a procedure where a cement polymer is injected under fluoroscopic or CT guidance in an effort to stabilize the vertebral body) and a sham surgery. Yet, in the last two weeks I've had two patients referred to interventional radiology and neurosurgery for this procedure. There's a lot I want to say on this subject but I'll leave it for another time. Also, I just wanted to prove to Santosh that I am still reading this blog.

Also, the accompanying editorial.

No comments: