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Jun 23 2023 This Week in Cardiology

This Week in Cardiology

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The Importance of Incentivizing Clinical Trials

In academic cardiology, the observational comparisons continue to get done and no matter the analytic method, bias persists. The analogy here is hormone replacement therapy for cardiovascular protection in women. There were actually more than 30 observational studies suggesting benefit from HRT or an association but guess what? They were all biased. What's weird though is that the cardiology literature overflows with these sorts of analysis. It's as if academic cardiologists are similar to masters bike racers. We train all winter, every winter thinking some spring we will ride like a pro, but we never do. This quote made me cheer because it is the first policy I would enact if I was in charge.

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