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Evidence-based Medicine

Study Commentary: Hydroxychloroquine Fails First Meaningful RCT

17 Apr, 2020 | 02:25h | UTC

Hydroxychloroquine fails first meaningful RCT – PulmCrit

Original Study: Hydroxychloroquine for Covid-19: No Benefit in New Open-label, Randomized Trial

Related Commentary: Hydroxychloroquine in the management of critically ill patients with COVID-19: the need for an evidence base – The Lancet Respiratory Medicine

 


Richard Lehman’s Covid-19 Reviews

14 Apr, 2020 | 02:46h | UTC

Richard Lehman’s covid-19 reviews—13 April 2020 – The BMJ Opinion

“In this weekly round-up, Richard Lehman looks at a personal selection of articles of relevance to clinicians dealing with covid-19.”

 


Trials of Drugs to Prevent Coronavirus infection Begin in Health Care Workers

9 Apr, 2020 | 03:16h | UTC

Trials of drugs to prevent coronavirus infection begin in health care workers – Science

 


Systematic Review: Prediction Models for Diagnosis and Prognosis of Covid-19

8 Apr, 2020 | 01:29h | UTC

Prediction models for diagnosis and prognosis of covid-19 infection: systematic review and critical appraisal – The BMJ

Commentary: Expert reaction to a systematic review of prediction models for diagnosis and prognosis of COVID-19 infection – Science Media Centre

 

Related Commentary on Twitter

 


COVID-19: More Opinions on Hydroxychloroquine

7 Apr, 2020 | 04:17h | UTC

Hydroxychloroquine Update For April 6 – Science Translational Medicine

The Debacle of Hydroxychloroquine and Azithromycin for COVID19 – Dr. John M.

Summary: wait for proper studies before prescribing.

 


Modelling the Models

6 Apr, 2020 | 01:32h | UTC

Modelling the models – CEBM University of Oxford

“Modelling the models. We reviewed 43 models indexed on PubMed, and 13 released by Imperial College to show the significant variation, lack of limitations and lack of references to each other.” (via @carlheneghan see Tweet)

 


Perspective: Creating a Framework for Conducting Randomized Clinical Trials during Disease Outbreaks

2 Apr, 2020 | 04:06h | UTC

Creating a Framework for Conducting Randomized Clinical Trials during Disease Outbreaks – New England Journal of Medicine

 


Debate Podcast: John Ioannidis vs. Sten Vermund – Be It Resolved; We Are Making High-stakes Decisions About the COVID-19 Pandemic Without Reliable Data

31 Mar, 2020 | 04:45h | UTC

Be it resolved, we are making high-stakes decisions about the COVID-19 pandemic without reliable data. – Munk Debates Podcast

Related Video: Perspectives on the Pandemic with Dr. John Ioannidis

Related Article: Editorial by John P.A. Ioannidis: COVID-19: The Harms of Exaggerated Information and Non‐evidence‐based Measures (free study and commentaries)

 


The Mathematics of Predicting the Course of the Coronavirus

31 Mar, 2020 | 04:43h | UTC

The Mathematics of Predicting the Course of the Coronavirus – Wired

See also: Mathematics of life and death: How disease models shape national shutdowns and other pandemic policies – Science AND How to model a pandemic – The Conversation AND Coronavirus exposes the problems and pitfalls of modelling – The Guardian AND Systematic review and critical appraisal of prediction models for diagnosis and prognosis of COVID-19 infection – medRxiv

 


Must-see Video! Perspectives on the Pandemic with Dr. John Ioannidis

27 Mar, 2020 | 04:03h | UTC

Perspectives on the Pandemic with Dr. John Ioannidis

Related Article: Editorial by John P.A. Ioannidis: COVID-19: The Harms of Exaggerated Information and Non‐evidence‐based Measures (free study and commentaries)

 


Mathematics of Life and Death: How Disease Models Shape National Shutdowns and Other Pandemic Policies

27 Mar, 2020 | 04:01h | UTC

Mathematics of life and death: How disease models shape national shutdowns and other pandemic policies – Science

See also: How to model a pandemic – The Conversation AND Coronavirus exposes the problems and pitfalls of modelling – The Guardian

 


Perspective: When Science Needs Self-Correcting

27 Mar, 2020 | 03:36h | UTC

When Science Needs Self-Correcting – Medium (free)

“Admitting scientific errors is hard. It’s also important.”

 


Hydroxychloroquine: Small Study Shows No Benefit

26 Mar, 2020 | 01:39h | UTC

A pilot study of hydroxychloroquine in treatment of patients with common coronavirus disease-19 (COVID-19) – Journal of Zhejiang University (abstract)

Commentary: Chloroquine Use For COVID-19 Shows No Benefit In First Small—But Limited—Controlled Trial – Forbes

Related: Coronavirus treatment hype can lead to harm – Lown Institute AND No, These Medicines Cannot Cure Coronavirus – The New York times

See also: Chloroquine for COVID-19: Cutting Through the Hype

 


Chloroquine for COVID-19: Cutting Through the Hype

24 Mar, 2020 | 11:32h | UTC

Chloroquine for COVID-19: Cutting Through the Hype – The Scientist

See also: Statistical review of Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial – Zenodo

 


CEBM Estimates Infection Rate Fatality (IFR) of COVID-19 at 0,20%

23 Mar, 2020 | 01:16h | UTC

Global Covid-19 Case Fatality Rates – Centre for Evidence-Based Medicine, University of Oxford (free)

 


Editorial by John P.A. Ioannidis: COVID-19: The Harms of Exaggerated Information and Non‐evidence‐based Measures

23 Mar, 2020 | 01:08h | UTC

Coronavirus disease 2019: the harms of exaggerated information and non‐evidence‐based measures – European Journal of Clinical Investigation (free PDF)

Related Opinion Piece: A fiasco in the making? As the coronavirus pandemic takes hold, we are making decisions without reliable data – STAT (free)

Rebuttal 1: We know enough now to act decisively against Covid-19. Social distancing is a good place to start – STAT (free)

Rebuttal 2: A Rebuttal to “A Fiasco in the Making?” – Hilda Bastian (Free)

 


New Preliminary Studies with Hydroxychloroquine:

20 Mar, 2020 | 10:57h | UTC

Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open label non-randomized clinical trial – International Journal of Antimicrobial Agents (free PDF)

This was an open-label study with only 42 patients without patient-relevant endpoints. The 6 patients that received Hydroxychloroquine + Azithromycin achieved more efficient virus elimination than control patients.

New in Vitro Study: Hydroxychloroquine, a less toxic derivative of chloroquine, is effective in inhibiting SARS-CoV-2 infection in vitro – Cell Discovery (free)

Related Articles: In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) – Clinical Infectious Diseases (free PDF) AND New insights on the antiviral effects of chloroquine against coronavirus: what to expect for COVID-19? – International Journal of Antimicrobial Agents (free) AND A systematic review on the efficacy and safety of chloroquine for the treatment of COVID-19 – Journal of Critical Care (free) AND Of chloroquine and COVID-19 – Antiviral Research (free)

 


Calculating the Sample Size Required for Developing a Clinical Prediction Model

19 Mar, 2020 | 10:42h | UTC

Calculating the sample size required for developing a clinical prediction model – The BMJ (free)

 


Ten Simple Rules to Becoming a Principal Investigator

8 Mar, 2020 | 20:37h | UTC

Ten Simple Rules to becoming a principal investigator – PLOS Computational Biology (free)

 

Related Commentary on Twitter


Validation and Utility Testing of Clinical Prediction Models: Time to Change the Approach

6 Mar, 2020 | 10:18h | UTC

Validation and Utility Testing of Clinical Prediction Models: Time to Change the Approach – JAMA (free for a limited period)

 


Alex Nowbar’s journal reviews—28 February 2020

1 Mar, 2020 | 19:38h | UTC

Alex Nowbar’s journal reviews, 28 February 2020 – The BMJ Opinion (free)

Alex Nowbar reviews the latest research from the top medical journals.

Related Commentary on Twitter

 


Opinion: “WHO’s malaria vaccine study represents a “serious breach of international ethical standards””

1 Mar, 2020 | 19:04h | UTC

WHO’s malaria vaccine study represents a “serious breach of international ethical standards” – The BMJ (free)

 


Opinion: The Inevitable Reimagining of Medical Education

28 Feb, 2020 | 08:30h | UTC

The Inevitable Reimagining of Medical Education – JAMA (free for a limited period)

Author Interview: The Inevitable Reimagining of Medical Education (free audio)

 


SPIRIT Extension and Elaboration for n-of-1 Trials: SPENT 2019 Checklist

28 Feb, 2020 | 08:27h | UTC

SPIRIT extension and elaboration for n-of-1 trials: SPENT 2019 checklist – The BMJ (free for a limited period)

 


Guide to Statistics and Methods: When Can Intermediate Outcomes Be Used as Surrogate Outcomes?

28 Feb, 2020 | 08:29h | UTC

When Can Intermediate Outcomes Be Used as Surrogate Outcomes? – JAMA (free for a limited period)

 


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