Nerve Decompression Surgery

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Nerve Decompression Surgery

Post by Laura on Wed Jul 03, 2013 10:23 am

http://www.medpagetoday.com/MeetingCoverage/IHC/40182

A plastic surgeon's passionate defense of his pioneering but controversial treatment for migraine failed to win many converts among headache specialists here.
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Deborah Friedman, MD, of the University of Texas Southwestern Medical Center in Dallas, ... [said] that the treatment's real value could only be determined by a carefully designed, sham-controlled trial, and that the government would have to fund it.
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Choosing his words carefully, [Debate moderator David Dodick, MD, of the Mayo Clinic in Scottsdale, Ariz.] closed the session by saying, "It appears to me that, after this excellent debate, the evidence is not sufficient according to the academic migraine neurologic community that, at least, we have in this room." He then endorsed Friedman's call for "better randomized, sham-controlled trials."
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Re: Nerve Decompression Surgery

Post by pīwakawaka on Tue Jul 09, 2013 7:36 pm

Isn't there some ethical problems with sham controlled trials when it comes to surgery?

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Re: Nerve Decompression Surgery

Post by Laura on Tue Jul 09, 2013 8:11 pm

Guess not here in the US. The participants would sign an informed consent.
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Re: Nerve Decompression Surgery

Post by Sarah on Fri Jul 12, 2013 9:03 am

That reminds me of the PFO heart trials for migraine where, as I recall, half the participants had a sham procedure and half didn't (although they were offered the real procedure at the end).
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