Stopping and thinking - Archimedes October 2024

Archives of Disease in Childhood's Archimedes section editor, Dr Bob Phillips (York District Hospital, UK) brings you the monthly episode about evidence-based medicine for paediatricians: 

Fairly frequently we who are sub-, or sub-sub- specialised will look at some research which we don’t want to agree with and say “But it doesn’t apply to My Special Darlings!”. And most of the time we’re wrong - after all, children who present with the same condition often have the same condition, regardless of what else they’re having going on at the same time. Sometimes there might be a feature which meaningfully alter disease trajectory in respect of the new illness though, and we need to ask: “Are my darlings different?”. That query is investigated this month https://adc.bmj.com/content/109/10/861.1 

We also ask the questions “When should we stop?”, and “How should we decide?” - https://adc.bmj.com/content/109/10/861.2

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