To the Editor: I read with interest the recent correspondence in the Journal from Del Mar and Glasziou.1 Their appeal to one of their critics was to "abandon throwing bricks from the sidelines and join us in trying to help clinicians assess research evidence in [a] timely fashion". More recently, their defence in relying on generalists, rather than experts, to assess the evidence was, somewhat curiously, that "a cat may look at a king".2 In response to these comments, I believe that one of their recent presentations relating to natural remedies for osteoporosis in postmenopausal women3 falls short of current evidence-based medicine requirements. I suspect that this may be because they have no expert in the area they are reviewing to assist them in assessing the data.
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
- 1. Del Mar CB, Glasziou PP. EBM in action: is laser treatment effective and safe for musculoskeletal pain? [letter]. Med J Aust 2002; 176: 195. <eMJA full text>
- 2. Del Mar CB, Glasziou PP. Safety of hormone replacement therapy after mastectomy. Med J Aust 2002; 176: 618-620. <eMJA full text>
- 3. Del Mar CB, Glasziou PP, Spinks AB, Sanders SL. Natural remedies for osteoporosis in postmenopausal women. Med J Aust 2002; 176: 182-183. <eMJA full text>
- 4. Kerr D, Ackland T, Maslen B, et al. Resistance training over 2 years increases bone mass in calcium-replete postmenopausal women. J Bone Miner Res 2001; 16(1): 175-181.
- 5. Kerr D, Morton A, Dick I, Prince R. Exercise effects on bone mass in postmenopausal women are site-specific and load-dependent. J Bone Miner Res 1996; 11: 218-225.
- 6. Chapuy MC, Arlot ME, Duboeuf F, et al. Vitamin D3 and calcium to prevent hip fractures in elderly women. N Engl J Med 1992; 327: 1637-1642.
- 7. McAlister FA, Clark HD, van Walraven C, et al. The medical review article revisited: has the science improved? Ann Intern Med 1999; 131: 947-951.
- 8. Australasian Cochrane Centre. Available at: <http://www.cochrane.org.au/>. Link updated August 2005.
- 9. Del Mar CB, Glasziou PP, Spinks AB, Sanders SL. Natural remedies for osteoporosis in postmenopausal women. Med J Aust 2002; 176: 182-183.<eMJA full text>