James Lind Library
@jameslindlibrary.bsky.social
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Illustrating the development of fair tests of treatments in health care through history.
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Welcome to the James Lind Library, illustrating the development of fair tests of treatments through history.

We have more than 1200 primary historical Records, 280 Articles, and multilingual Essays, along with podcasts, videos and quizzes.

All content is free at www.jameslindlibrary.org
The James Lind Library - The James Lind Library
Thee James Lind Library uses material from history to illustrate the development of research methods for evaluating treatments.
www.jameslindlibrary.org
jameslindlibrary.bsky.social
Ahoy! You can learn more about the history of systematic reviews and meta-analysis in the article that Mike Clarke wrote for me in 2015
www.jameslindlibrary.org/articles/his...
#EvidenceSynthesis #EBM #EBHC
jameslindlibrary.bsky.social
100 years ago today, the British Medical Journal published Moir's study of the narcotic effects of two hyoscines using alternation to form comparable groups. It's at www.jameslindlibrary.org/moir-jc-1925 illustrating the development of fair tests of treatment through history
@bmj.com
Moir JC (1925) - The James Lind Library
www.jameslindlibrary.org
jameslindlibrary.bsky.social
Ahoy! If you'd like to watch an interview between Cindy and Iain Chalmers recorded about 30 years ago, it starts 1:38 into the video at
radar.brookes.ac.uk/radar/items/...
jameslindlibrary.bsky.social
Ahoy! You might also be interested in reading the piece Dave Sackett wrote for me about why he became a clinician trialist. It's available free here: www.jameslindlibrary.org/articles/why...
#RandomizedTrials #DaveSackett #EBM
jameslindlibrary.bsky.social
Ahoy! Learn about the importance of randomisation through history in my library at www.jameslindlibrary.org. For example, read how the GISSI trials embedded patient and public health oriented randomised trials into the Italian health service 40 years ago
www.jameslindlibrary.org/articles/emb...
The James Lind Library - The James Lind Library
The James Lind Library uses material from history to illustrate the development of research methods for evaluating treatments.
www.jameslindlibrary.org
jameslindlibrary.bsky.social
Ahoy! With the publication of the new SPIRIT guidance on reporting protocols for randomised trials, read about the history of reporting guidelines in the article that Doug Altman and Iveta Simera wrote for me in 2015 www.jameslindlibrary.org/articles/a-h...
#SPIRIT #RCT
@equatornetwork.bsky.social
jameslindlibrary.bsky.social
Ahoy! 40 years since #BackToTheFuture, use the James Lind Library to learn about randomised trials through history, including 1985 trial from the #WHO testing coronary heart disease prevention in 50,000 men from 66 factories in Belgium, Italy, Poland & UK
www.jameslindlibrary.org/kornitzer-m-...
jameslindlibrary.bsky.social
On #Red4Research Day, visit my website at JamesLindLibrary.org to learn about the development of fair tests of treatment through history
jameslindlibrary.bsky.social
1/3 On Friday 13th, here's some things you might like to read about the effects of chance in research....
#FridayThe13th #FairTests
jameslindlibrary.bsky.social
Following the discovery of papers showing Churchill's concerns about the availability of #penicillin during WW2 www.bbc.com/news/article..., read the article Ben Toth wrote for me about some of the research that showed the drug's remarkable benefits www.jameslindlibrary.org/articles/pio... #BBC #WW2
Winston Churchill's race to secure penicillin before D-Day found in notes
Handwritten notes show the wartime prime minister's frustration over slow penicillin production.
www.bbc.com
jameslindlibrary.bsky.social
On #WorldBicycleDay (www.un.org/en/observanc...), have a look at this trial from 50 years ago (yes, half a century!) that randomised participants to a control group or 20 weeks of running, walking or cycling for 30 minutes three times a week pubmed.ncbi.nlm.nih.gov/1152627/ #Exercise #RCT
World Bicycle Day | United Nations
The bicycle is a simple, affordable, reliable, clean and environmentally fit sustainable means of transportation.
www.un.org
jameslindlibrary.bsky.social
8/8 If you’d like to learn more about the importance of ISIS-2, watch the start of Sir Richard Peto’s talk at Evidence Live 2015 www.youtube.com/watch?v=xYIP... or read what he wrote for me in 2016 www.jameslindlibrary.org/articles/ref... #EvidenceLive #EBHC @cebmoxford.bsky.social
Richard Peto - Large-scale randomised evidence: how will it inform clinical practice?
YouTube video by CEBM Oxford
www.youtube.com
jameslindlibrary.bsky.social
7/8 Analyses, negotiated between authors and editors, include what Richard Horton, @thelancet.com‬ editor, called "the most entertaining example of inappropriate subgroup analysis": no benefit from aspirin for #Gemini & #Libra but clear benefit for other birth signs www.thelancet.com/journals/lan...
From star signs to trial guidelines
The most entertaining example of inappropriate subgroup analysis is to be found in a 1988 Lancet paper.1 Within a complex table reporting subgroup analyses of the odds of vascular death after streptok...
www.thelancet.com
jameslindlibrary.bsky.social
6/8 In the 5 weeks after randomisation, there were 804 (9.4%) vascular deaths among 8587 patients allocated aspirin but 1016 (11.8%) in 8600 allocated placebo. The odds of dying in the 5 weeks after their MI were reduced by about a quarter if patients were given 160mg aspirin a day for a month.
jameslindlibrary.bsky.social
5/8 They were randomised to aspirin, streptokinase, both or neither in what’s called a factorial trial, which will feature more in a future #TrialsTuesday. This meant that half the patients got aspirin and half did not.