DWQA Questions › Tag: Jacob Stegena
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A viewer asks: “A 2018 book, Medical Nihilism, by Jacob Stegenga claims the healthcare system over-adopts treatments and under-recognizes risks. He states confidence in the effectiveness of medical interventions should be low because empirical evidence for the efficacy of many treatments is weak due to methodological flaws, publication bias, the influence of commercial interests. He claims positive studies are more likely to be published, screening programs tend to detect and treat cancers that would never cause harm, common treatments can cause long-term complications, short trial durations miss long-term harms etc. How accurate is his view that evidence is systematically skewed and harms are undercounted?”
ClosedNicola asked 3 hours ago • 
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A viewer asks: “Dr. Bernard Lown, a Harvard cardiologist in the 1980s, criticized the rapid rise of surgical Coronary Artery Bypass Grafts (CABG), noting 20–40% were potentially avoidable, especially in stable angina, and many patients had uncertain survival benefit. He advocated medical therapy—nitrates, beta-blockers, lifestyle changes—for symptom control. How accurate is it to say that in 2026, evidence-based guidelines and trials have reduced avoidable CABG to <10% for high-risk, guideline-selected patients, and that for low-risk, stable patients, surgery rarely improves survival, and that beta-blockers, nitrates, ACE inhibitors, lifestyle changes are to be preferred?”
ClosedNicola asked 3 hours ago • 
6 views0 answers0 votes
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