My mother was not a terrific cook. One of my most lucid memories of my mother in the kitchen was the always open "I Hate to Cookbook" by Peg Bracken. Who knew this would be an omen of healthcare reform to come?
My mother didn't like to cook -- but she wanted her family to have "balanced" meals. (Remember "balanced" meals?) The results were predictable and adequate. (Sorry Mom.)
Similarly today, our comparative effectiveness nabobs want to field "comparative effectiveness" studies that don't make them think too hard. These studies (outlined here) will result in predictable findings based on "adequate" 20th century science that don't challenge any conventional wisdom. If we want real healthcare form -- is adequate acceptable?
No! No! No!
Literature reviews do not replace robust 21st century science.
My mother didn't like to cook -- but she wanted her family to have "balanced" meals. (Remember "balanced" meals?) The results were predictable and adequate. (Sorry Mom.)
Similarly today, our comparative effectiveness nabobs want to field "comparative effectiveness" studies that don't make them think too hard. These studies (outlined here) will result in predictable findings based on "adequate" 20th century science that don't challenge any conventional wisdom. If we want real healthcare form -- is adequate acceptable?
No! No! No!
Literature reviews do not replace robust 21st century science.
