iiinova — where your digital self keeps evolving

Reposted by Shiela Appavoo MD

Mark Ungrin @mark-ungrin.bsky.social · 02/06/2025

Makary's claim of "no data" illustrates the classic EBM failure mode. Too many don't understand science outside their "gold standard" kiddie pool, everything inside it is slow and retrospective, and without mechanistic understanding they can't generalize - everything is just memorized special cases.

canadahealthwatch.ca

Trump’s cronies aren’t what broke public health

The structural blind spots that undermine medical progress and how to fix them.

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Reposted by Shiela Appavoo MD

Mark Ungrin @mark-ungrin.bsky.social · 28/04/2025

There is a recurring pattern of institutional research integrity offices shielding influential clinical studies and the researchers responsible for them from accountability, and ignoring harm to the public. This is far from an isolated incident.

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Reposted by Shiela Appavoo MD

David Fisman. @dfisman.bsky.social · 25/04/2025

For what it’s worth, here’s the editorial I sent the Globe and Mail April 5. The Globe took a pass. Balancing Individual Rights and Community Health Requires Knowledge of History

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Reposted by Shiela Appavoo MD

David Fisman. @dfisman.bsky.social · 24/04/2025

A thread on quality, evidence and EBM: Clinical research often labels evidence as "high quality" or "low quality," but how reliable are these categories? How meaningful is this "quality" construct?

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Reposted by Shiela Appavoo MD

André Picard @picardonhealth @picardonhealth.bsky.social · 18/04/2025

Trump’s cronies aren’t what broke public health. The structural blind spots that undermine medical progress and how to fix them, by Mark Ungrin canadahealthwatch.ca/2025/04/18/t... via @canadahealthwatch.bsky.social @nicktsergas.ca

canadahealthwatch.ca

Trump’s cronies aren’t what broke public health

The structural blind spots that undermine medical progress and how to fix them.

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Reposted by Shiela Appavoo MD

Mark Ungrin @mark-ungrin.bsky.social · 11/03/2025

One of the strongest arguments against allowing secretive bodies like the Canadian Task Force on Preventative Health Care to make guidance in back rooms, without transparency or scientific oversight, is the behaviour they exhibit when forced out into the open. canadahealthwatch.ca/2025/03/11/h...

canadahealthwatch.ca

Health guidelines should be transparent. The Task Force’s aren’t

The Task Force oversimplifies the criticisms of its detractors.

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Shiela Appavoo MD @shielaappavoo.bsky.social · 11/03/2025

My opinion on a few of the many problems with the Canadian Task Force on Preventive Health Care and what they failed to disclose in their recent petition.

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Shiela Appavoo MD @shielaappavoo.bsky.social · 11/03/2025

Terrific op ed about modernizing our screening guidelines development body. #cancer

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Reposted by Shiela Appavoo MD

Cheryl White @ladyscorcher.bsky.social · 08/03/2025

So apparently the government asked a group of experts in EBM to review the work of the task force and based on that review the government has asked the task force to pause their work for a month.

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Shiela Appavoo MD @shielaappavoo.bsky.social · 08/03/2025

The pause on the Task Force was the result of an External Experts Review (EER) by a panel of many well qualified individuals, including family docs and population specialists. www.canada.ca/en/public-he... Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔

canada.ca

External Expert Review of the Canadian Task Force on Preventive Health Care: About - Canada.ca

About the External Expert Review for the Canadian Task Force on Preventative Health Care, member biographies, meeting minutes.

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Reposted by Shiela Appavoo MD

David Fisman. @dfisman.bsky.social · 24/05/2024

Has the impact of Cochrane reviews and GRADE on health outcomes ever been evaluated in a randomized controlled trial? 😬

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Shiela Appavoo MD @shielaappavoo.bsky.social · 04/08/2023

ascopubs.org/doi/pdf/10.1200/JCO.23… Important new publication supporting the experts’ recommendation to screen 40-49 yo women for breast cancer. #40not50

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Reposted by Shiela Appavoo MD

Andrea Kaston Tange @aktange.bsky.social · 03/07/2023

This was one of the most beautiful portraits of a friendship I have ever read. Also superb sports writing. Do yourself a favor, and sit down with it today.

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