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Published in: Critical Care 6/2011

01-12-2011 | Letter

Emotional or evidence based medicine - is there a moral tragedy in haemostatic therapy?

Authors: Sibylle Kozek-Langenecker, Benny Sørensen, John Hess, Donat R Spahn

Published in: Critical Care | Issue 6/2011

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Excerpt

We strongly recommend that critical evaluation of medical practice is based on evidence rather than emotional reaction. Surprisingly, Stanworth and Hunt [1] seem to resort to the latter in response to our review [2]. Their questioning of ethics and morals appears unjustified, since we fully acknowledged multiple, serious limitations of the current evidence and methodologies within our review. They claim 'the danger of this review is that the message supports a move toward greater use of fibrinogen concentrate without proper evaluation' [1], ignoring our final statement that 'more high-quality, prospective studies are required before any definitive conclusions can be drawn' [2]. …
Literature
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go back to reference Stanworth SJ, Hunt BJ: The desperate need for good-quality clinical trials to evaluate the optimal source and dose of fibrinogen in managing bleeding. Crit Care 2011, 15: 1006. 10.1186/cc10510PubMedCentralCrossRefPubMed Stanworth SJ, Hunt BJ: The desperate need for good-quality clinical trials to evaluate the optimal source and dose of fibrinogen in managing bleeding. Crit Care 2011, 15: 1006. 10.1186/cc10510PubMedCentralCrossRefPubMed
2.
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go back to reference Bevan DH: Cardiac bypass haemostasis: putting blood through the mill. Br J Haematol 1999, 104: 208-219. 10.1046/j.1365-2141.1999.01182.xCrossRefPubMed Bevan DH: Cardiac bypass haemostasis: putting blood through the mill. Br J Haematol 1999, 104: 208-219. 10.1046/j.1365-2141.1999.01182.xCrossRefPubMed
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Metadata
Title
Emotional or evidence based medicine - is there a moral tragedy in haemostatic therapy?
Authors
Sibylle Kozek-Langenecker
Benny Sørensen
John Hess
Donat R Spahn
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Critical Care / Issue 6/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc10583

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