Blog posts by Jeremy Howick

Jeremy Howick

About Jeremy Howick

Jeremy is a funded postdoctoral research fellow at the CEBM. Jeremy's research draws on his interdisciplinary training of science and clinical epidemiologist. Research interests include the nature of 'placebos' and whether their use is ethical in clinical practice and clinical trials, the role of 'mechanistic reasoning' as evidence for efficacy and effectiveness for medical and social policy interventions. CEBM and Postgraduate Programme in EBHC tutor, Jeremy is also the author of The Philosophy of Evidence-based Medicine.

The Double-Edged Sword of the Evidence-Based Medicine Renaissance

There is clearly a thirst for a renewed and refreshed version of EBM that helps achieve EBM’s stated aims.

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Ask big questions and think critically

Susanna Every-Palmer (Zanna) was initially sceptical about her suitability for our module on the History and Philosophy of EBHC. I informed her that all she required was the willingness to ask big questions and to think critically.

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Rethinking Evidence-Based Medicine: from rubbish to real

All clouds – even the big ones revealed at this meeting – have silver linings.

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Bias is good

How studying the history and philosophy of EBM helps

There were about 20,000 POWs in the camp, of whom a quarter were British. The diet was about 600 calories a day and we all had diarrhoea. In addition we had severe epidemics of typhoid, diphtheria, infections, jaundice, and sand-fly fever…

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A new generation of bias in EBM

In the EUROPA trial 12,218 patients were randomized to receive perindopril or placebo. 9.9% of the participants in the ‘placebo’ group died or had a heart attack, whereas only 8% in the experimental group died or had a heart attack: roughly a 2% absolute effect size. You would have to treat 50 patients with the drug to get one with a positive outcome.

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