I wrote this editorial in the British Medical Journal with the magnificent Carl Heneghan, director of the Centre for Evidence Based Medicine at Oxford. It’s about the Public Accounts Committee, progress on publication bias, and a suggestion for routine ongoing audit to give actionable information for decision-makers on how much information is missing. Read the rest of this entry »
I wrote this piece in the Guardian on clinical trial results being withheld, and the staggering denialism from diverse players including industry, the Royal Colleges, the MHRA, David Cameron, and more. This denialism has slowed progress on the issue, and cost lives. It’s my view, frankly, that people should be sacked – and presidents dismissed – over the appalling ESHLSG debacle, which gave false reassurance on vitally important matters of patient safety. The public, quite reasonably, expect better of medical leaders, especially when technical matters are entrusted to their care. Perhaps I’m wrong. In any case: the tide has turned, the public are watching, the professions are finally fully on side. We must celebrate that and move forward: now is the time to act. Here is a link to my piece, and here is the final two paragraphs.
MPs on the UK parliament’s Public Accounts Committee today issued one of the most damning reports ever seen on the problem of clinical trial results being withheld. Their amazement at the extent of the problem is palpable. This is a fantastic result for the campaign that started with Iain Chalmers et al many years ago, grew with the publication of Bad Pharma, and is now transformed into a vast behemoth with widespread support at AllTrials. You can read the Committee’s report in full here, and see the video of the evidence session with me and Fi Godlee from the BMJ here. I should say, I’ve been hugely impressed by the MPs I’ve come into contact with on this issue.
There has been extensive media coverage so far, some of the best (the ones that go beyond the Committee’s press release…) can be found in: the Independent, the Telegraph, the BBC, PharmaTimes and the Times (regarding that last article, I wonder if Bina Rawal of the ABPI will come to regret claiming that Richard Bacon, the deputy chair of the highly influential Public Accounts Committee, has been misleading people: the current regime at the ABPI do seem rather clumsy, more on their activities to come). Next, here is an article by David Tovey, head of Cochrane, one from Ginny Barbour, the big medical cheese at PLOS, and here is the BMJ news piece. Here’s a comment piece by Matt Ridley in the Times (caution: contains climate lols), and here’s a comment piece from me in The Guardian. There’ll be an editorial in the BMJ shortly.
Here is the extra update chapter from the new 2013 paperback edition of Bad Pharma. It’s a fun romp through the changes that have happened over the past year or so, starring the many ethical professionals in pharma and medicine who have tried to push things forward, and some very shameful denialism from people in positions of “leadership”. There are some very interesting imperfections in medicine, they cost lives, and they can all be easily fixed, where there is common sense and good-will.
It’s all much more fun if you’ve read the book itself. As always, if you like what I do, and want me to do more: buy my books and give them to your friends. Apart from anything else, it scares the enemy. You can find Bad Pharma here on…
… Amazon ……….
…….. Waterstones ……
……………… or Hive.
So, here Read the rest of this entry »
The GMC are focused mainly on the narrow issue of an individual doctor’s competence when seeing individual patients. But there are broader issues that have an equally important impact on patient care and public trust: failure to publish clinical trials, failure to participate in research, and imperfectly declared conflicts of interest, for example.
The Health Select Committee have an annual review with the GMC to discuss how they’re getting on. Here’s a letter I wrote to them, along with Iain Chalmers, Fiona Godlee and Trish Groves of the BMJ, and Ginny Barbour from PLoS. We suggest some actions the GMC could take to improve patient care on all these issues. Below that is the video of the committee raising our concerns with the GMC. Broadly speaking: the GMC said they’d have a think. This is forward movement, and there’s more to come next year, with the launch of something interesting, new, and fun (and currently a bit secret…). Read the rest of this entry »
Still catching up on posting things from this year. Here’s a piece I wrote in the BMJ with medical student colleagues about an extraordinary, influential, and rather depressing organisation called the “Ethical Standards in Health and Life Sciences Group”. This was a committee of the great and good in medicine, co-chaired by Sir Richard Thompson of the Royal College of Physicians, and Deepak Khanna of the ABPI (the chap who very oddly claimed that I refused to meet him). Read the rest of this entry »
Catching up and blogging this year’s activities: here’s a fun website I made with my friend Carl Reynolds, fellow doctor behind NHS HackDays (where nerds who love the NHS build useful tools). RandomiseMe lets you design and run randomised controlled trials, either on yourself, or on your friends. You can do a trial to see if your new trainers let you run faster than your old ones, find out if cheese gives you nightmares, or club together with friends and work out which kind of gloopy abdomen baste is best at preventing stretch marks in pregnancy. Read the rest of this entry »
Just catching up with posting things from this year, here’s an editorial in The Lancet from Paul Fine, Andy Haines and me. We argue that epidemiology is the unsung hidden hand, whose techniques underpin a huge chunk of our causal reasoning about the world. It has helped to guide technical specialties like economics, but it’s also vital to everday lay thinking around what’s good for our health, or bad for us: and so it should be taught in schools. As I said yesterday, Bad Science and Bad Pharma are both essentially epidemiology textbooks with bad guys. Read the rest of this entry »
Hi all, I haven’t posted much on badscience.net due to exciting home events, fun dayjob activity, a ton of behind-the-scenes work on trials transparency with alltrials.net, activity on policy RCTs, exciting websites, and a zillion talks. I’m going to post this year’s backlog over the next week or two (and maybe rejig the site if I get a chance). So first up…
Here’s an editorial I wrote in the British Medical Journal with David Spiegelhalter, about the complex contradictory mess of evidence on the impact of bicycle helmets. Like most places where there’s controversy and disagreement, this is a great opportunity to walk through the benefits and shortcomings of different epidemiological techniques, from case control studies to modelling. Epidemiology is my dayjob; Bad Science and Bad Pharma are both, effectively, epidemiology textbooks with bad guys; and since the techniques of epidemiology are at the core of most media stories and squabbles on health, it’s very weird that you don’t hear the word more often. More on that in another journal article, which I’ll post later on! Read the rest of this entry »