Vidcast:  https://youtu.be/xQ7aKxrVGVg

A new meta-analysis just published by the Oregon Health and Science University identifies nearly 400 important changes in medical and surgical therapy guidelines as a result of over 3000 randomized, controlled studies.  This type of official policy shift by medical authorities is officially called a “medical reversal.”  

I want you to know about the most important reversals so that you can take advantage of the latest recommendations and pass them along to your family and friends.  Let’s take a look at 8 key reversals mentioned by the researchers:

• When a pregnant women’s membranes break, it is better to wait then to induce immediate delivery.
• Routine screening mammography for all women under 50 is unnecessary.
• Wearable devices do not promote weight loss despite their promotion of more exercise.
• Use of machines to deliver chest compressions for CPR outside the hospital offers no advantages over a person pushing on the chest.
• External hip protectors do not prevent hip fractures in the elderly.
• Coronary artery bypass procedures should be performed with the heart stopped and the patient on the heart-lung pump.
• Epidural steroid injections do not help spinal stenosis.
• Arthroscopic knee surgery and partial cartilage removal may not be better than initial physical therapy.

I’ll be keeping you informed about other medical reversals as they become available.  Meanwhile, if you are facing surgery or intense medical therapy, read all you can about it.

Diana Herrera-lPerez, Alyson Hallam, Tyler Crain, etal.  Meta-Research: A comprehensive review of randomized clinical trials in three medical journals reveals 396 medical reversals. Elifesciences; DOI: 10.7554/eLife.45183.

#Medicalreversals #guidelines #RCT #randomizedtrials