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David Sackett, RIP

May 26, 2015
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(Disclosure: I also posted this on my Teaching and Learning blog, http://tlchiro.blogspot.com). On May 13, David Sackett died. He was inarguably the Father of evidence-based medicine, and his work has transformed the practice of healthcare in incalculable ways. He began his work by establishing the first Department of Clinical Epidemiology and Biostatistics in Canada,...
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Some consequences of disc degeneration

May 11, 2015
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I’ve heard doctors say that the presence or absence of lumbar disc degeneration (LDD) is unimportant when it comes to clinically evaluating patients with low back pain (LBP). This sentiment likely comes from knowledge that many patients with LDD do not experience LBP. However,...
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NNT: Number Needed to Treat, Part 2

May 11, 2015
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Remember that the Number Needed to treat, or NNT, is the number of people we need to treat in order to have a positive impact on one person. In my last article (http://blog.dynamicchiropractic.com/research/2015/04/number-needed-to-treat-nnt/), I provided an example of looking at the NNT using a...
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Let’s go for a walk

May 8, 2015
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Almost every physician I know involved in primary care will advise patients to walk. It is an activity that requires no special equipment, no health club membership and poses...
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Lumbar degenerative spondylolisthesis

April 27, 2015
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A recently published study conducted at our research center reported the prevalence of radiographic findings in individuals with chronic low back pain presenting for a clinical trial . There...
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Number Needed to Treat: NNT

April 27, 2015
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The “number needed to treat” or NNT is an important measure that looks at the impact of some kind of intervention by determining the number of patients one would...
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