{"id":14851,"date":"2013-06-17T09:36:50","date_gmt":"2013-06-17T13:36:50","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=14851"},"modified":"2013-06-17T09:36:50","modified_gmt":"2013-06-17T13:36:50","slug":"raw-data-now-open-science-sign-ben-goldacres-alltrials-petition","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2013\/06\/raw-data-now-open-science-sign-ben-goldacres-alltrials-petition.html","title":{"rendered":"Raw data now! Open science! Sign Ben Goldacre&#8217;s #AllTrials petition"},"content":{"rendered":"<div id=\"attachment_14852\" style=\"width: 176px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/www.alltrials.net\/\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-14852\" class=\"size-full wp-image-14852 \" style=\"margin-right: 20px;\" alt=\"All Trials logo - click to sign petition\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2013\/06\/alltrials_basic_logo2.png\" width=\"166\" height=\"123\" \/><\/a><p id=\"caption-attachment-14852\" class=\"wp-caption-text\">Click to go sign the petition<\/p><\/div>\n<p>Last year during TEDMED 2012, in\u00a0<a title=\"Permanent Link to \u201cThe cancer at the core of evidence-based medicine\u201d: Ben Goldacre on the missing data\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2012\/04\/the-cancer-at-the-core-of-evidence-based-medicine-ben-goldacre-on-the-missing-data.html\" rel=\"bookmark\">\u201cThe cancer at the core of evidence-based medicine\u201d: Ben Goldacre on the missing data<\/a>,\u00a0we covered the vitally important news that a <i>lot <\/i>of medical research has gone missing, leading to a severely corrupted foundation for evidence-based medicine. If you haven&#8217;t read that quick post with 6 minute video interview, please do.<\/p>\n<p>Goldacre said he&#8217;s starting a site called AllTrials.org to find and publish the missing data. Yesterday I discovered\u00a0<strong>that process is underway<\/strong>, and they&#8217;re collecting signatures on a petition. <a href=\"http:\/\/www.alltrials.net\/\" target=\"_blank\">Please go sign it.<\/a>\u00a0(The hashtag for the movement is #AllTrials.)<\/p>\n<p>How can families <i>or<\/i>\u00a0clinicians make effective choices if we don&#8217;t have the relevant information??\u00a0Imagine the auto industry suppressing crash test results that didn\u2019t go well! Not only is it ludicrous; imagine the impact on families who drove those cars.<\/p>\n<p>On a related note, today Paul Levy posted about <a href=\"http:\/\/runningahospital.blogspot.com\/2013\/06\/a-medical-journals-abdication-of.html\" target=\"_blank\">a patient who <i>died<\/i>\u00a0from untreated complications<\/a>\u00a0and was omitted from a paper about this new surgical method; the paper said &#8220;There were no early complications,&#8221;\u00a0even though the editor was told of the death!<\/p>\n<p><!--more-->Both that example (a single case, omitted from the literature for some reason) and Goldacre&#8217;s broader movement (entire <i>trials<\/i> omitted from the literature) point to an increasingly clear picture that the evidence we&#8217;re taught to follow needs a LOT of scrutiny.\u00a0The remedy is <a href=\"http:\/\/en.wikipedia.org\/wiki\/Open_science\">Open Science<\/a>. Importantly, the definition includes open <b>data<\/b>, so others can check the reasoning for what was included and what was not.<\/p>\n<p>Open data is such a big deal that in <a href=\"\u201dhttp:\/\/www.ted.com\/talks\/tim_berners_lee_on_the_next_web.html\u201d\">a 2009 TED Talk<\/a> Tim Berners-Lee, inventor of the web, taught his audience to say out loud: \u201cRaw Data Now! Raw Data Now!\u201d His talk was titled The Next Web, and four years later it\u2019s become real \u2013 <a href=\"\u201dhttp:\/\/thenextweb.com\/africa\/2013\/06\/15\/how-open-data-is-transforming-democracy-in-africa-and-the-challenges-it-faces\u201d\">that movement\u2019s website<\/a> tracks what people are doing with open data and the difference it\u2019s making.<\/p>\n<p><b><i>Medicine must catch up.<\/i><\/b> Raw data now!<br \/>\n____________<\/p>\n<p>Some links to Goldacre videos and excerpts from prior posts &#8211; this will be old news to people who&#8217;ve followed this blog for years:<\/p>\n<ul>\n<li>2011: I blogged about his <a href=\" https:\/\/participatorymedicine.org\/epatients\/archives\/2011\/10\/e-patient-training-via-ted-talk-battling-bad-science.html\">funny, informative TEDGlobal talk<\/a> <b>Battling Bad Science<\/b>. (What a hoot \u2013 he\u2019s an entertainer!)<\/li>\n<li>TEDMED 2012: The talk I interviewed him about was <a href=\"&quot;http:\/\/blog.tedmed.com\/?p=1856\u201d\">The Tip of the Missing Data Iceberg<\/a>. He called suppression \u201cthe cancer at the core of evidence-based medicine.\u201d\u00a0Example: of 74 trials of antidepressants \u2013\n<ul>\n<li>Only 38 (about half) came out positive \u2013 no better than a random coin toss<\/li>\n<li>But 37 of the 38 were published (92% of them!)<\/li>\n<li>And of the 34 failed tests, only THREE were published<\/li>\n<\/ul>\n<\/li>\n<li>So: an earnest doctor looks at the evidence, and sees that 37 of 40 published papers are positive. The stuff clearly works, right? Wrong; the publication process fell short of producing reliable information for the doctor (and the patient).<\/li>\n<\/ul>\n<p>Impact:<\/p>\n<ul>\n<li>Inhibits patients from getting good information.<\/li>\n<li>Inhibits doctors from having good information, too, with which to treat their patients<\/li>\n<li>It\u2019s a severe disservice to the <b>patients who put themselves at risk<\/b> by being in a clinical trial to help improve the body of scientific knowledge.<\/li>\n<li>Makes an absolutely mockery of evidence-based medicine<\/li>\n<\/ul>\n<p>It took decades, I&#8217;m told, to change the culture of medicine so that docs are taught to immediately ask &#8220;What&#8217;s the evidence?&#8221; If the evidence has been made unreliable by editorial mistakes (or corruption), it weakens the whole system.<\/p>\n<p>Please sign that petition &#8211; to benefit yourself, your children&#8217;s doctors, your elders&#8217; doctors, your own doctors, and all patients.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last year during TEDMED 2012, in\u00a0\u201cThe cancer at the core of evidence-based medicine\u201d: Ben Goldacre on the missing data,\u00a0we covered the vitally important news that a lot of medical research [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[114,59,3586,4236],"tags":[],"coauthors":[],"class_list":["post-14851","post","type-post","status-publish","format-standard","hentry","category-hcs-problem-list","category-policy-issues","category-research-issues","category-shared-decision-making"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Raw data now! 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