Posts Tagged ‘evidence based medicine’

Does the USPSTF Understand What Chronic Means?

September 24, 2018 — The USPSTF is one of those acronyms that provides a good test of sobriety. If you can say it five times quickly, you’re either completely sober or a hopeless health policy geek. It stands for the United States Preventive Services Task Force. Last week, the task force affirmed that primary care providers should refer adults […]

Bariatric Surgery: Information, Misinformation, and Inertia

September 10, 2018 — A striking pair of papers in JAMA Surgery offers powerful food for thought about bariatric surgery. The first is a systematic review of how safe and effective it is for Medicare patients. The second is a commentary from well-respected health policy researchers. After reading these papers, we see a huge huge gap. On one hand, we have […]

National Obesity Care Week: 5 Reasons to Take Action

September 7, 2018 — We’re just one month away from National Obesity Care Week. It’s October 7-16 this year. But now is the time to make your plans and pledge to take action. Here’s why. 1. Weight Bias Is Blocking Progress Weight stigma starts early and hits hard. It has devastating effects on health and quality of life at […]

Lorcaserin: From Also-Ran to Holy Grail in the NEJM

August 27, 2018 — Back in July, we told you about a landmark cardiovascular outcomes study with lorcaserin. We only had topline results at that point, but we knew that this would be big. Today, we have a publication in the New England Journal of Medicine, an editorial, and lots of hyperbolic buzz in headlines all over the world. […]

Which Poisons More: Coconut Oil or Nutrition Hyperbole?

August 22, 2018 — Professor Karin Michels is presenting us with a dilemma today. On one hand, we’ve written before about the absurdity of the coconut oil fad. People have been swallowing tablespoonfuls of this fat, chasing bogus health claims they’ve been reading in social media feeds. Cures everything from obesity to Alzheimer’s. Gwyneth Paltrow recommends swishing it in […]

Plummeting Childhood Obesity and Skyrocketing Happiness

May 28, 2018 — Wishful thinking is not the foundation for sustainable health strategies. But when the subject is obesity, it’s abundant. In the bioethics journal Sound Decisions, we find an author telling us this month that skyrocketing happiness will result when obesity declines. Thus, more happiness per person justifies government regulation of food portions, writes Shelby Kantner. Wishing […]

What’s the Real Harm of Repeated Weight Cycling?

April 4, 2018 — The common presumption is that losing weight and then regaining it will slowly, but surely cost you in terms of health. Reading, writing, and responding to your thoughts yesterday about Cass Elliot provided a stark reminder of this. Elliot – just like many other people who live with obesity – could lose large amounts of weight […]

A Failing Grade on Knowledge of Obesity Care

March 26, 2018 — It’s hard to sugarcoat this. New research makes it very clear. Most primary care providers lack an adequate knowledge of obesity care. They simply don’t know basic facts of what works and what doesn’t for treating obesity. Recently, researchers from the George Washington University checked the knowledge of 1,506 primary care providers. The sample included […]

A Story of Persistence for Health at a Young Age

March 23, 2018 — Recently, we wrote of deep concern about teens with severe obesity who are denied effective obesity care. For insight into why this matters so much, consider the experiences of Maria Caprigno, a proud OAC member and brilliant patient advocate. Her story is one of incredible persistence for health at a very young age. I first […]

Reproducibility of Science: Look Twice Before Crossing

March 19, 2018 — Some call it a crisis of reproducibility. More than a decade ago, John Ioannidis famously told the world that most published research findings are false. His analysis quickly became the most widely read paper ever published by PLOS. You’ll find a more generous view in a new, special issue of PNAS. Attending to the rigor, […]