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Category Archives: Science-Based Veterinary Medicine
Overdiagnosis
Overdiagnosis is now recognized as a common and serious problem in human medicine that causes substantial harm in terms of unnecessary costs, wasted resources, and patient and caregiving suffering. International conferences (e.g. Preventing Overdiagnosis) and special features in major medical … Continue reading
Posted in General, Science-Based Veterinary Medicine
9 Comments
More Evidence that Laboratory Testing of Healthy Dogs and Cats Uncovers Lots of Abnormalities of Questionable Significance
A new article has just been published adding some information to a subject I’ve addressed before, the value of blood testing and other diagnostics in clinical health dogs and cats (discussed Here and Here). In the past, I have come … Continue reading
Posted in General, Science-Based Veterinary Medicine
1 Comment
EBVMA Podcast- What Is Evidence-based Veterinary Medicine?
Back in April, I was privileged to participate in the inaugural podcast of the Evidence-based Veterinary Medicine Association, a group I have worked with for many years, as a membership of the Board of Directors and former President. In this … Continue reading
Surgical Checklists Reduce Complications for Veterinary Surgery Patients
Evidence-based medicine (EBM) is a useful set of principles and tools that can help improve patient care. Unfortunately, there is little that is sexy and dramatic about EBM. Science in general tries to avoid the grandiose generalities that make for … Continue reading
Selected Effects of Neutering in German Shepherd Dogs
As part of my ongoing surveillance of evidence concerning the benefits and risks of neutering, I have identified a new study on the subject. Hart, B. L., Hart, L. A., Thigpen, A. P. and Willits, N. H. (2016). Neutering of … Continue reading
Posted in Science-Based Veterinary Medicine
7 Comments
How to Prove a Therapy is Effective Even When its Not
Over the years, I have written a lot about how we come to hold and maintain false beliefs in medicine. Perhaps the lion’s share of this lies in anecdotes, which are powerfully persuasive despite all the sources of bias and … Continue reading
Neutering and Cancer Risk In Cats
I have written extensively about the scientific evidence concerning the benefits and risks of neutering. Overall, the data is complex, and significant effects of neutering on specific health risks are rarely definitively demonstrated. One of the most controversial issues, the … Continue reading
Posted in Science-Based Veterinary Medicine
8 Comments
Clinical Reasoning
One subject I am especially interested in is the ways our inherent reasoning processes can lead us to develop and defend mistaken beliefs. Many features of human observation and thought have evolved for quick judgments and efficient approximations under conditions … Continue reading
Posted in Science-Based Veterinary Medicine
1 Comment
Evidence Update- Cranberry Extracts and Urinary Tract Infections in Dogs
I’ve written in the past about the subject of cranberry extracts used to prevent or treat urinary tract infections. (1, 2) There is some in vitro and lab animal research that suggests these products might reduce the ability of a … Continue reading
Posted in Science-Based Veterinary Medicine
11 Comments
Possible Risk Factors for Kidney Disease in Cats
Chronic kidney disease (CKD) is a common and important cause of illness in older cats. It is a frustrating disease for many reasons, especially the lack of a clear understanding of what causes CKD and the absence of a proven … Continue reading
Posted in Science-Based Veterinary Medicine
16 Comments