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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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James Lind Library @jameslindlibrary.bsky.social · 25/09/2026
1/2 PROSPERO, as a prospective register for systematic reviews, is one of the most important developments in the history of systematic reviews. It was launched in 2011 and 1,000 reviews were registered in the first year. That many are now registered every 3 days... www.crd.york.ac.uk/PROSPERO/
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James Lind Library @jameslindlibrary.bsky.social · 23/09/2026
Learn about the history of tools to assess risk of bias in randomised trials in my new article 👇from Rafael Pacheco and Rachel Riera in Sao Paolo, Brazil www.jameslindlibrary.org/articles/a-h... #RiskOfBias #SaoPaolo #Brazil #RCT #EBHC #EBM #EvidenceSynthsis #MedHist #HistoryOfMedicine
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A Historical Review of Risk of Bias Assessment Tools for Randomized Controlled Trials - The James Lind Library
The validity of conclusions drawn from systematic reviews depends fundamentally on the reliability of the results from the studies they synthesize. Over more than six decades, instruments for assessin...
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James Lind Library @jameslindlibrary.bsky.social · 21/09/2026
Ahoy! Ways to recruit people to randomised trials can themselves be tested in randomised trials. A newly updated Cochrane Review looks back at the evidence from 91 studies with more than 175,000 participants, which tested 65 recruitment strategies. www.cochranelibrary.com/cdsr/doi/10....
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James Lind Library @jameslindlibrary.bsky.social · 11/08/2026
Thanks for this Ahoy! to Christian Gluud's article on Povl Heiberg, illustrating the development of fair tests of treatment through history.
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James Lind Library @jameslindlibrary.bsky.social · 03/08/2026
Ahoy. A key part of the history of systematic reviews, the original Cochrane Handbook, is now available online in the James Lind Library. www.jameslindlibrary.org/oxman-a-1994/ #MedHist #HistoryOfMedicine #Cochrane #SystematicReviews #EvidenceSynthesis
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Oxman A (1994). - The James Lind Library
The original version of what became the Cochrane Handbook for Systematic Reviews of Interventions, which was originally published as Section VI of the Cochrane Toolkit.
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James Lind Library @jameslindlibrary.bsky.social · 30/07/2026
My latest blog highlights an important trial from the mid 1950s showing the benefits of reducing heat loss in preterm babies, and illustrating how a hand-drawn graph 👇was used to plot the accumulating evidence and decide to stop the trial www.jameslindlibrary.org/blogs/landma... #TrialsTuesday
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James Lind Library @jameslindlibrary.bsky.social · 29/07/2026
Test your knowledge of the reasons that treatment uncertainties should be addressed by taking my short quiz 👇 www.jameslindlibrary.org/blogs/test-y... #MedHist #HistoryOfMedicine #Quiz #EBM #EBHC
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Why treatment uncertainties should be addressed - The James Lind Library
James Lind Library quiz 1.1 - Why treatment uncertainties should be addressed, including audio version of the essay.
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James Lind Library @jameslindlibrary.bsky.social · 28/07/2026
#TrialsTuesday #10 What temperature is best for a premature baby? This month’s Trials Tuesday answered this question 70 years ago and it continues to be cited by Cochrane Reviews when discussing the benefits of reducing heat loss in preterm babies. 1/8 www.cochranelibrary.com/cdsr/doi/10....
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James Lind Library @jameslindlibrary.bsky.social · 28/07/2026
On World Hepatitis Day, visit the James Lind Library to read Jon Pollock's illustratrion of the use of the factorial design in a fair test of treatments for #hepatitis in the 1940s 👇 www.jameslindlibrary.org/articles/con... #WorldHepatitisDay #MedHist #HistoryOfMedicine #RCT
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A controlled trial using a factorial design reported in 1946. - The James Lind Library
The introduction of randomized controlled experiments in agriculture in the 1920s and 1930s sometimes involved designing studies to make more than one comparison within the same experiment. Partly bec...
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James Lind Library @jameslindlibrary.bsky.social · 27/07/2026
On this day in 1921, Frederick Banting and Charles Best isolated #insulin at the @utoronto.ca Read about the development of this dramatically effective treatment in my article by Charilaos Stylianou and Christopher Kelnar www.jameslindlibrary.org/articles/the... #MedHist #HistoryOfMedicine
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The introduction of successful treatment of diabetes mellitus with insulin. - The James Lind Library
Introduction The introduction of insulin for treating patients with diabetes mellitus must rate as Canada’s earliest contribution to the welfare of humankind. The report by Banting and his colleagues ...
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James Lind Library @jameslindlibrary.bsky.social · 22/07/2026
On #WorldBrainDay, the history of one of the first #Cochrane Review Groups, Stroke, shows how their reviews of fair tests have provided an evidence base for #stroke care since 1993. Read the Group's 10 & 20 year reflections 👇👇 www.ahajournals.org/doi/10.1161/... journals.sagepub.com/doi/abs/10.1...
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James Lind Library @jameslindlibrary.bsky.social · 21/07/2026
On Belgium National Day (21 July), here's a randomised trial from 80 years ago in Belgium, which used coin toss to provide a fair test of penicillin for treating diphtheria among army personnel. www.jameslindlibrary.org/bolton-jh-pi... @bmj.com #BelgiumNationalDay #MedHist #HistoryOfMedicine #RCT
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Bolton JH, Pivawer MJ (1947) - The James Lind Library
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James Lind Library @jameslindlibrary.bsky.social · 17/07/2026
Want to learn about the history of systematic reviews? Watch this 51 minute video 👇, produced and edited by Lorcan Clarke, and presented by his father Mike, Co-ordinating Editor of the James Lind Library www.youtube.com/watch?v=7pys...
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James Lind Library @jameslindlibrary.bsky.social · 09/07/2026
Please repost. We have put up a shelf for the history of PPIE in research in the James Lind Library. We need your help to find things for this shelf and then, to build and fill the book cases needed to accommodate all the content.
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James Lind Library @jameslindlibrary.bsky.social · 23/06/2026
In this new article by Vern Farewell, learn about the 1968 paper which reported the “Ritchie Articular Index”, a measure of joint tenderness in patients with #rheumatoid #arthritis, which became widely used in clinical trials. www.jameslindlibrary.org/articles/the...
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The Ritchie Index Paper: Some historical background on an early effort to establish objective measures in rheumatic diseases. - The James Lind Library
Introduction A very influential paper in rheumatology is the paper by Ritchie and colleagues (Ritchie et al. 1968) which introduced what became known as the “Ritchie Articular Index” (RAI), a ...
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James Lind Library @jameslindlibrary.bsky.social · 19/06/2026
On #Red4ResearchDay, visit my website to learn about the development of clinical trials through history www.jameslindlibrary.org
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James Lind Library @jameslindlibrary.bsky.social · 16/06/2026
Today is Bloomsday, marking the date of the events in James Joyce’s Ulysses, and you can learn about the doctor described as a "scientific Ulysses" in this article 👇written for me by Stefan Slater www.jameslindlibrary.org/articles/the... #HistoryOfMedicine #MedHist #Thyroid #Bloomsday #Ulysses
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The discovery of thyroid replacement therapy. - The James Lind Library
Introduction There is a poignant before and after photolithograph of a Victorian lady in the 1878 transactions of the Royal Medical and Chirurgical Society of London (Figure 1) (Ord 1878). ...
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James Lind Library @jameslindlibrary.bsky.social · 09/06/2026
#TrialsTuesday #9 Trials Tuesday has highlighted some clinical trials that were small but which nevertheless had an important impact. In contrast, this month’s trial is one that was described as “massive” by Keith Veronese in Making Medicine. It was called ISIS-2. 1/8
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James Lind Library @jameslindlibrary.bsky.social · 02/06/2026
Do you know Archie Cochrane's quote from the 1970s “It is surely a great criticism of our profession that we have not organised a critical summary, by speciality or subspeciality, adapted periodically, of all relevant RCTs.” Access original source here 👇 www.jameslindlibrary.org/cochrane-al-...
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Cochrane AL (1979) - The James Lind Library
Contribution to a book arising from a symposium by the UK Office of Health Economics in 1978 in which Archie Cochrane wrote: “It is surely a great criticism of our ...
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Trials Change Lives @trialschangelives.bsky.social · 02/06/2026
#CochraneDaily Just published! New article in James Lind Library discusses relationship between the long history of the habit of belief and the placebo effect, showing how this medieval image 👇reveals the power of the invisible @jameslindlibrary.bsky.social www.jameslindlibrary.org/articles/the...
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Douglas Badenoch @dbadenoch.bsky.social · 29/05/2026
Belief, effectiveness and the placebo effect. In the latest James Lind Library article, Racha Kirakosian and colleagues review the role of belief and expectations in the effectiveness of treatments, and trace its roots back to medieval illustration. www.jameslindlibrary.org/articles/the...
Medieval image of the holy communion. Stockholm, National Library (Kungliga biblioteket), Shelf mark: A 225. Siebenhirter Hours. Page opened: Folio 158 verso. Dimensions: 240 x 170 mm. Date: 1470s. Anonymous artist known as the “Lehrbüchermeister”. Produced in Kärnten/Carinthia, Austria, for the first Grand Master of the Order of St George, Johann Siebenhirter.
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James Lind Library @jameslindlibrary.bsky.social · 01/06/2026
1 June is World Milk Day worldmilkday.org. A good day to learn about the controlled trials of supplementary milk for school children in Scotland and #Belfast in the 1920s, by readng this article by Jon Pollock www.jameslindlibrary.org/articles/two... #WorldMilkDay #Milk #HistoryOfMedicine #MedHist
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World Milk Day – Celebrating Women Farmers
Observed annually on June 1, World Milk Day unites countries, organizations, and communities to recognize and amplify the dairy sector's impact.
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James Lind Library @jameslindlibrary.bsky.social · 25/05/2026
On World Thyroid Day (www.ese-hormones.org/education-an...), read my article by Stefan Slater about the discovery of thyroid replacement therapy. www.jameslindlibrary.org/articles/the... #HistoryOfMedicine #MedHist #WorldThyroidDay #Thyroid @esendocrinology.bsky.social
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James Lind Library @jameslindlibrary.bsky.social · 22/05/2026
The first atlas, as a set of maps, was published on 22 May 1570 (archive.org/details/thea...), but Ben Cao Tu Jing's Atlas of Materia Medica was published 500 years earlier. Read about it here 👇 www.jameslindlibrary.org/articles/com... #HistoryOfMedicine #MedHist
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Commentary on the Ben Cao Tu Jing (11th century). Atlas of Materia Medica. Song Dynasty (960-1279). - The James Lind Library
The Ben Cao Tu Jing (Atlas of Materia Medica) was first published in 1061 in China, during the reign of Ren Zhong, one of the emperors of the Song Dynasty ...
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James Lind Library @jameslindlibrary.bsky.social · 20/05/2026
Today is International Clinical Trials Day, and you can learn more about me and what I achieved in this article by Iain Milne www.jameslindlibrary.org/articles/who... #InternationalClinicalTrialsDay #BePartOfResearch #NIHR20 #EBHC #EBM #RCT #ICTD2026
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Who was James Lind, and what exactly did he achieve? - The James Lind Library
Who was James Lind? Visitors to the Edinburgh University quadrangle in Teviot Place, which used to house the Medical School, are unlikely to miss the large plaque put up in ...
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James Lind Library @jameslindlibrary.bsky.social · 20/05/2026
Richard Lehman's death is a great loss to his family, friends, colleagues and the people he inspired and would have inspired in the future. Richard joined the editorial group for the James Lind Library in 2021 and was always helpful, jovial and insightful.
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James Lind Library @jameslindlibrary.bsky.social · 12/05/2026
#TrialsTuesday #8 This month’s #TrialsTuesday features STAMPEDE. This trial for men with prostate cancer published its first practice changing results 10 years ago after a presentation to the American Society of Oncology in May 2015 1/8 ascopubs.org/doi/10.1200/... @innovative-ctu.bsky.social #ASCO
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James Lind Library @jameslindlibrary.bsky.social · 27/04/2026
Ahoy! I am pleased to announce the addition of a new section to the James Lind Library that will illustrate the impact of patient and public involvement in research through history. Please share and get in touch if you would like to help us develop this www.jameslindlibrary.org/blogs/patien... #PPIE
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Patients Have Always Shaped Research. It's Time We Told That Story. - The James Lind Library
The James Lind Library announces a new section to cover Patient and Public Involvement (PPIE) and invites contributions from readers.
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James Lind Library @jameslindlibrary.bsky.social · 07/04/2026
#TrialsTuesday #7 This month, I’ll take you more than 100 years further back in time than my trial of scurvy. I’ll share with you a proposal for a study that highlighted the need for do a fair test to find out if a common treatment might do more harm than good 1/8 #FairTest #TestingTreatments
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James Lind Library @jameslindlibrary.bsky.social · 03/04/2026
As Artemis II heads for the moon, this article 👇 contains a case study of the role of clinical trials in the discovery of artemisinin as an antimalarial. www.jameslindlibrary.org/articles/the... #Artemis #Artemisin #Malaria #MedHist #HistoryOfMedicine
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The History of Controlled Clinical Trials in China. - The James Lind Library
Abstract The advent of randomized controlled trials (RCTs) in mainland China remains largely unexplored. We offer here what we hope is a useful starting-point. We begin with a brief account ...
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James Lind Library @jameslindlibrary.bsky.social · 01/04/2026
Ahoy! I've several articles that illustrate the use of placebos through history, including this one by Scott Podolsky www.jameslindlibrary.org/articles/the... @harvard.edu #HistMed #Placebo #MedicalHistory #RCT
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The (Harry) Gold Standard: angina, suggestion, and the path to the “double-blind” test and Clinical Pharmacology. - The James Lind Library
“It is idle to attribute the relief of pain to a substance given in a series of injections when the ritual of the treatment itself, as well as numerous other ...
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James Lind Library @jameslindlibrary.bsky.social · 24/03/2026
On World Tuberculosis Day, this article on clinical trials for the treatment of TB in China illustrates the development of these fair tests of treatments through history www.jameslindlibrary.org/articles/his... #WorldTuberculosisDay #TB #HistoryOfMedicine
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History of Clinical Trials for the Treatment of Tuberculosis in China. - The James Lind Library
Abstract Tuberculosis-related clinical trials in the West were a critical site of trial innovation throughout the twentieth century. And tuberculosis treatment articles and trials, from the late 1940s...
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James Lind Library @jameslindlibrary.bsky.social · 13/03/2026
1/2 On #WorldSleepDay, learn about clinical trials through history with this account of Cushny and Peebles' test of hyoscines, ~120 years ago. 👇They gave people a tablet on alternate evenings, and compared their sleep with the intervening control nights. www.jameslindlibrary.org/articles/joh...
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John Henry Gaddum’s 1940 guidance on controlled clinical trials - The James Lind Library
Introduction The rationale for and design of controlled clinical trials as we know them today developed during the first half of the 20th century. The use of alternation to generate ...
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James Lind Library @jameslindlibrary.bsky.social · 12/03/2026
If you'd like to learn about the history of evidence-based research, here's the new article from Hans Lund and Karen Robinson www.jameslindlibrary.org/articles/his... @ebrnetwork.bsky.social #EBM #EBHC #EvidenceSynthesis
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History of Evidence-Based Research - The James Lind Library
More than two and a half centuries ago, James Lind’s controlled trial showed that citrus fruits were effective in treating scurvy (Tröhler 2005). Remarkably, Lind’s publication not only reported these...
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James Lind Library @jameslindlibrary.bsky.social · 10/03/2026
#TrialsTuesday #6 Harry Gold, featured in the last #TrialsTuesday for his work on double blind trials of angina. Another important trial for this condition tested a surgical procedure, internal mammary artery ligation by comparing it to “sham surgery” 1/8
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James Lind Library @jameslindlibrary.bsky.social · 04/03/2026
On #WorldObesityDay learn about the history of #placebo surgery in this article, including a trial of intragastric balloon insertion in which operators manipulated the endoscope to create a sensation of resistance in the stomach of those in the control group👇 www.jameslindlibrary.org/articles/use...
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James Lind Library @jameslindlibrary.bsky.social · 10/02/2026
#TrialsTuesday #5 Gold featured as an ineffective treatment for tuberculosis in last week's Trials Tuesday. This week, I feature a person who shares the name of the element - Harry Gold – to illustrate the history of the "double blind" trial. 1/8 #DoubleBlind #HistoryofMedicine
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James Lind Library @jameslindlibrary.bsky.social · 03/02/2026
#TrialsTuesday #4 The last TrialsTuesday was the MRC trial of streptomycin for TB that used random numbers to fill envelopes which, when opened, revealed a patient’s assigned treatment. But, what about using a more familiar method for using chance to choose between options: flipping a coin? 1/8
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James Lind Library @jameslindlibrary.bsky.social · 23/01/2026
Whether or not you've read the first two of Robert Matthews' trio of articles on the problematic history of randomised trials, have a look at the third now. It discusses Donald Mainland, Austin Bradford Hill and the future of randomised trials www.jameslindlibrary.org/articles/the... #rct #ebhc #ebm
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The problematic history of randomised controlled trials Part 3: Mainland, Hill and the future of RCTs. - The James Lind Library
“[I]n much medical literature there is inadequate recognition and treatment of questions of chance, of the allowance to be made for small samples, and of natural variation from sample to ...
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James Lind Library @jameslindlibrary.bsky.social · 21/01/2026
On this day in 1868, Felix Hoffmann, who synthesized aspirin in 1897, was born. Today, you can learn about fair tests of treatments through history by reading Peter Elwood's account of the first randomized trial of the drug for people having a heart attack. 👇 www.jameslindlibrary.org/articles/the...
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The first randomized trial of aspirin for heart attack and the advent of systematic overviews of trials. - The James Lind Library
The first randomized trial of aspirin for heart attack Archie Cochrane, my predecessor as director of the UK Medical Research Council’s Epidemiology Research Unit in Cardiff, was inclined to play ...
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James Lind Library @jameslindlibrary.bsky.social · 20/01/2026
TrialsTuesday #3 Last #TrialsTuesday, I featured the #MRC 1944 trial showing that patulin was not effective for treating the common cold. Today, it’s a more famous MRC trial from the same decade: streptomycin for pulmonary tuberculosis, published in the BMJ on 30 October 1948. 1/8 @bmj.com
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James Lind Library @jameslindlibrary.bsky.social · 13/01/2026
Whether or not you looked at the first of Robert Matthews' trio of articles on the problematic history of randomised trials last week, try the second 👇about Austin Bradford Hill’s “pragmatic” view of randomisation and its origins www.jameslindlibrary.org/articles/the... #HistoryOfMedicine #RCT
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The problematic history of randomised controlled trials Part 2: Hill’s “pragmatic” view of randomisation and its origins. - The James Lind Library
“My skill, if any, was, I believe, in offering the clinician something simple that he could understand – and all that I could understand. If one had started with something ...
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James Lind Library @jameslindlibrary.bsky.social · 13/01/2026
#TrialsTuesday #2 Last week, I reminded you of my trial of oranges and lemons for scurvy. This week, it’s something from a mould that grows on apples, which was tested as a treatment for the common cold nearly 200 years later in the UK Medical Research Council (MRC) 1944 trial of patulin. 1/8
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James Lind Library @jameslindlibrary.bsky.social · 06/01/2026
#TrialsTuesday #1 On this first Tuesday of 2026, I’m relaunching Trials Tuesday to illustrate the development of fair tests of treatment through history, featuring important clinical trials. I begin with my study of scurvy on board the Salisbury. 1/8 www.jameslindlibrary.org/articles/who...
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James Lind Library @jameslindlibrary.bsky.social · 05/01/2026
Start the new year with the first of Robert Matthews' trio of articles on the problematic history of randomised trials, illustrating the challenges of presumption and confusion on the road to randomisation. Read it for free here 👇 www.jameslindlibrary.org/articles/the... #RCT #HistoryOfMedicine
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The problematic history of randomised controlled trials Part 1: presumption and confusion on the road to randomisation. - The James Lind Library
Randomisation is one of many statistical ideas that have permeated medical research but are imperfectly understood (Altman 1991) Introduction The emergence of the randomised controlled trial (RCT) ran...
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James Lind Library @jameslindlibrary.bsky.social · 24/12/2025
In the article she wrote for me about tuberculosis and streptomycin in the UK in 1948, @hildabast.bsky.social describes how #GeorgeOrwell was admitted to Hairmyres Hospital in Scotland on #ChristmasEve 1947, with infectious chronic tuberculosis in his lungs 👇 www.jameslindlibrary.org/articles/dow...
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Down and almost out in Scotland: George Orwell, tuberculosis and getting streptomycin in 1948. - The James Lind Library
I brought a chest specialist here. He says I have got to go into a sanatorium, probably for about 4 months. It’s an awful bore, however perhaps it’s all for ...
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James Lind Library @jameslindlibrary.bsky.social · 18/12/2025
Nice to see this recognition of the good friend of the James Lind Library, the late Doug Altman. Learn more about his prescience in recognizing the need to reduce biases before tackling imprecision in systematic reviews, in this article by Iain Chalmers 👇 www.jameslindlibrary.org/articles/dou...
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Doug Altman’s prescience in recognizing the need to reduce biases before tackling imprecision in Systematic Reviews. - The James Lind Library
Recognition of shared interests and the origins of a friendship I came to know Doug Altman during the 1980s when we were both members of the editorial team at the ...
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James Lind Library @jameslindlibrary.bsky.social · 17/12/2025
Listen in as @richard-lehman.bsky.social and @raj-mehta.bsky.social explore why it took so long for fair tests of treatments to develop, and the transition from anecdotal and authority-based decisions to empirical methodologies in the 18th and 19th centuries. www.jameslindlibrary.org/blogs/the-fi...
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Podcast: The first steps towards Evidence-Based Medicine - The James Lind Library
This video covers the first section of the James Lind Library essays, exploring why it took so long for fair assessments of medical treatments to develop.
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Trials Change Lives @trialschangelives.bsky.social · 10/12/2025
#CochraneDaily As we approach the end of 2025, have a read of this landmark 30-year old article providing empirical evidence of how poor allocation concealment was associated with #bias in the results of randomised trials jameslindlibrary.org/wp-data/uplo... @jama.com @jameslindlibrary.bsky.social
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James Lind Library @jameslindlibrary.bsky.social · 09/12/2025
Did you know that there's a Christmas Card Day? It's today: www.daysoftheyear.com/days/christm... ? However, sending Christmas cards to trial participants won't help reduce bias by retaining them, as shown in one of my records 👇 www.jameslindlibrary.org/coleman-e-ar... @trialforge.bsky.social
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Christmas Card Day
A tradition that brings joy — with so many unique designs to choose from, it's easy to find the perfect way to spread holiday cheer.
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