Lars Henning
@larshenningmd.bsky.social
280 followers 520 following 350 posts
80% gynecological oncologist Västerås 🇸🇪. 20% HTA-unit Camtö Örebro Hospital. Views my own. Too dumb and lazy for doing research but interested how to evaluate medical research&evidence. Words matter. Dislike lifscience like QoL&D engl, swed, germ
Posts Media Videos Starter Packs
Pinned
larshenningmd.bsky.social
vardgivare.regionorebrolan.se/rapport-om-l...
Skrev i senaste "Rapport om läkemedel" från Läkemedelskommitén Örebro om Camtös systematiska översikt över torkat svinsköldkörtelextrakt mot hypotyreos och en kartläggning av dess förskrivning i Sverige. Så snygg illustrerat. Tacksam för kritisk läsning.
larshenningmd.bsky.social
Lite väl positiv framställning på P1 Fabriken av AI inom sjukvården och diagnostik. Jag rekommenderar istället på fredag Cantös temadag "Varför så bråttom?" med en föreläsning om "Evidensgranskning av AI-baserade och andra medicintekniska produkter" och "Lärdomar av sjukvårdens digitalisering"
larshenningmd.bsky.social
Thats the paper from Netherlands which weight-based immunotherapy Nivolumab och Pembrolizumab is based on pure.eur.nl/ws/portalfil...
pure.eur.nl
larshenningmd.bsky.social
One of the most fascinating academic-driven concepts in oncology is de-escalation. As the rich countries lived delusionally as if their resources were unlimited we are starting to learn from countries like India. Swedish Society of Oncology changed for almost 2 yrs ago to weight-based immunotherapy
csoncol.bsky.social
Bloomberg released an article highlighting efforts to reduce cancer drug doses while preserving outcomes & making treatments more affordable & accessible globally.

Read more: tinyurl.com/93n5xxvk

#CommonSenseOncology #CancerCare
Pharma Is Pushing $200,000 Cancer Drugs When Cheaper Doses May Work
Doctors are experimenting with using lower doses of blockbuster cancer drugs. It could help hundreds of thousands of lives — if pharmaceutical companies would allow it.
tinyurl.com
larshenningmd.bsky.social
Big recommendation to watch Chris Booth on the CHALLENGE-RCT for everybody interested in cancer and exercise youtu.be/bZTBZ33JtoI?...
Reposted by Lars Henning
kevinrothrock.me
I think I'd swallow arsenic before shopping at something called TrumpRx.
larshenningmd.bsky.social
In my opinion the critique by non-expert in exercise physiology John Mandrola in www.sensible-med.com/p/exercise-i... was pulverized. It may be time for all cancer units globally to start working on implementing a structured exercise program for its cancer patients. #commonsense
Exercise is Great but It’s Not a Cancer Drug
The CHALLENGE trial ignited social media with its great story of exercise as a cancer therapeutic. But liking a conclusion is not a reason to stop thinking.
www.sensible-med.com
larshenningmd.bsky.social
I senaste @swedishskeptics.bsky.social Folkvett lysande introduktion "Systematiska översikter: hur man slipper ägna tid åt osäkra resultat" från Alexander Snellman om varför välgjorda oberoende systematiska översikter är av så stor betydelse för varje kunskapsbaserad samhälle
folkvett.vof.se
Folkvett
folkvett.vof.se
larshenningmd.bsky.social
Thats why HTA-units are so utterly important for every knowledge-driven society. Very interesting read by the way with refreshing balance.
anthonycox.info
A quick post about the whole paracetamol thing, and can people stop saying there is 'no evidence'.

There is, but the balance of evidence and the strongest studies don't show a link.

www.anthonycox.uk/p/you-say-ac...
You say acetaminophen , I say paracetamol
Let's call the whole thing off
www.anthonycox.uk
Reposted by Lars Henning
larshenningmd.bsky.social
Looks also like a good learning example to illustrate the importance of taking your time to think through your PICO before starting a systematic review. In the search strategy they used "colorectal cancer" without mentioning rectal cancer or premalign lesions under exclusion-criterias.
larshenningmd.bsky.social
Tack för att Du gett ett ordentligt feedback till Umeå Universitet. Och welcome to the capital of Scandinavia
Reposted by Lars Henning
alundh.bsky.social
Science is not always as good as it appears on print in a research paper. Ready to be scared by finding nasty truths. Try out INSPECT-SR for checking the trustworthiness of trial results when you do systematic reviews.
Reposted by Lars Henning
statsepi.bsky.social
One of the most common misunderstandings about the use and value of placebos in clinical RCTs, often made by both methodological experts and experienced trialists:

(from @stephensenn.bsky.social in academic.oup.com/jrsssa/advan...)
A further problem is illustrated by the authors equating no treatment with placebo. For example, describing their second assumption, they state, ‘Implicit in this notation is that there is a single version of ‘no treatment’ that is consistently defined across all subjects in the RCT and external controls’ (p4). However, most clinical trials are add-on trials (Senn, 2002), even if not specifically identified as such. In placebo-controlled trials, one starts with standard of care and then subjects are either allocated to receive in addition the active treatment or a placebo to it. The statistical analysis plan for SUNFISH (F Hoffman-La-Roche Ltd, 2020) has a protocol summary as Appendix 1, which has this to say, ‘In addition to the study drug treatment, patients may continue to receive concomitant drug medication…’ (p186). This is very standard for clinical trials. It highlights that a key assumption in borrowing control data in this way is that there has been no evolution in the standard of care in the period since the trial.
larshenningmd.bsky.social
Hon är ju sist så det går utmärkt att ta till sig de övriga föreläsare. Min personliga highlight är Mikael Hoffmann. Som jag saknar lakemedel från twitter-tider. Jag är helt medveten om att Agnes känns upprörande för en del av svenska befolkningen. En del älskar henne. Vi vill hålla oss till mitten.
larshenningmd.bsky.social
This malpractice by our universities might have a huge collateral damage as public trust in our experts competence is endangered.
larshenningmd.bsky.social
An example from UK that applies also to "innovation-friendly" 🇸🇪. If you are in 🇸🇪 the 10th of october you are very welcome to HTA-unit Camtö's swedishspeaking workshop in Örebro "Why in such a hurry- about evidence and introduction of new methods in healthcare". www.regionorebrolan.se/sv/forskning...
larshenningmd.bsky.social
The scandal of unbelievable bad medical research gets the well-deserved public attention unfortunately only occasionally in highly polarised and politcized questions.
gidmk.bsky.social
There's been a big fight over gender-affirming care after Gordon Guyatt and his team at McMaster released a statement contradicting their former funders' public policy.

I wrote about the whole thing, and what "evidence-based medicine" really means.

gidmk.substack.com/p/a-fight-ov...
A Fight Over Evidence-Based Medicine And Gender Affirming Care
The case of McMaster University
gidmk.substack.com
larshenningmd.bsky.social
Ikväll får jag festa för första gången hos Old Fellows i Västerås