tag:blogger.com,1999:blog-6193043695356712843.post4487451013856816942..comments2023-09-02T23:55:45.583+10:00Comments on Doctor Skeptic: SLAP in the face for shoulder surgeryDr Skeptichttp://www.blogger.com/profile/09376469049519802493noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-6193043695356712843.post-27725208039209473342017-07-24T12:28:25.791+10:002017-07-24T12:28:25.791+10:00Thanks. I am not sure about the pure negative effe...Thanks. I am not sure about the pure negative effects of surgery and anaesthesia, but they entire process certainly has risks (infection, surgical error, inadvertent damage etc.) and costs a lot of money, so the burden of proof should be on those in favour of surgery.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-86421352532505634622017-07-23T18:02:31.054+10:002017-07-23T18:02:31.054+10:00Surely any surgery should only be done if it is ab...Surely any surgery should only be done if it is absolutely necessary given the impact on brain function of anaesthetics, particularly as people get older, and the trauma of the physiological shock to the body, which all surgery must bring, even if it is not recognised or studied?Roslyn Rosshttps://www.blogger.com/profile/15700960108357035957noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-41785015329209520192017-07-21T10:45:33.605+10:002017-07-21T10:45:33.605+10:00Nothing you haven't written about before just ...Nothing you haven't written about before just a little more ammo!<br /><br />https://fivethirtyeight.com/features/surgery-is-one-hell-of-a-placebo/<br /><br />Yours is a very worthwhile blog. Thanks.3d1khttps://www.blogger.com/profile/03146341906389811250noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-71750281188552861722017-05-31T02:57:05.775+10:002017-05-31T02:57:05.775+10:00Thanks for sharing. I wondered about the efficacy ...Thanks for sharing. I wondered about the efficacy of SLAP repairs as well. The Norwegian doctors in this study are really physicians to look up to for their integrity and ability to question assumptions. In contrast JBJS (USA) published this in 1993,<br /><br />http://www.anationinmotion.org/content/uploads/2014/06/jbjsl01495.pdf<br /><br />Results: The age-weighted mean total societal savings from rotator cuff repair compared with nonoperative treatment<br />was $13,771 over a patient’s lifetime. Savings ranged from $77,662 for patients who are thirty to thirty-nine years old to a<br />net cost to society of $11,997 for those who are seventy to seventy-nine years old. In addition, surgical treatment results<br />in an average improvement of 0.62 QALY. Societal savings were highly sensitive to age, with savings being positive at the<br />age of sixty-one years and younger. The estimated lifetime societal savings of the approximately 250,000 rotator cuff<br />repairs performed in the U.S. each year was $3.44 billion. <br /><br />A great work of propaganda but bad science- so many incorrect assumptions...Anonymoushttps://www.blogger.com/profile/12796245218427012668noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-90502302447066453362017-05-29T13:23:56.891+10:002017-05-29T13:23:56.891+10:00Yes, and a similar study from Finland as well. Loo...Yes, and a similar study from Finland as well. Looks like the shoulder surgeons will be under a bit of pressure to support their practices - just like the knee surgeons have been.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-27188630525122477642017-05-29T10:36:40.998+10:002017-05-29T10:36:40.998+10:00This should be out soon:
https://www.situ.ox.ac.u...This should be out soon:<br /><br />https://www.situ.ox.ac.uk/surgical-trials/csawbodyknowledgehttps://www.blogger.com/profile/05495925875326898844noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-63791598102837233952017-05-25T21:11:14.069+10:002017-05-25T21:11:14.069+10:00Apologies. Link added to blog post above.Apologies. Link added to blog post above.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-35854314589992344932017-05-25T17:22:22.175+10:002017-05-25T17:22:22.175+10:00Any chance of a reference to the Norwegian study?Any chance of a reference to the Norwegian study?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-91509371904840201332017-05-23T03:23:44.353+10:002017-05-23T03:23:44.353+10:00But the market for knee scopes was bigger, and tha...But the market for knee scopes was bigger, and that has been severely dented by a study from Finland.<br />I am not aware of any published sham surgery studies of rotator cuff surgery??Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-19161045881185225342017-05-22T15:52:32.402+10:002017-05-22T15:52:32.402+10:00I think Rototor cuff surgery falls in the same cam...I think Rototor cuff surgery falls in the same camp largely. The only 1 or 2 RTCs that sued sham surgery showed no real difference.<br />A new study is underway in Finland to look at acute traumatic tears. Doubt any of this will dent the HUGE market for these operationstooearlyhttps://www.blogger.com/profile/17768562174718446511noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-12612085584770446502017-05-22T00:16:09.220+10:002017-05-22T00:16:09.220+10:00A fair amount of shoulder pain is caused by anxiet...A fair amount of shoulder pain is caused by anxiety and depression. Any type of procedure could act as a placebo. Many doctors do not recognize a patient as having anxiety or depression, so the cause of shoulder pain, unless trauma, is often blamed on repetitive motion or loading or other possibilities. Shoulders and necks react to "Flight, fight or freeze", and the muscle groups for each are not always the same for each emotional action or reaction. richard davishttps://www.blogger.com/profile/15194755918045804201noreply@blogger.com