10 Findings That Contradict Medical Wisdom. Doctors, Take Note.

By Gina Kolata in the NYT

Ed note: I was taught in Med School that the questions in medicine never change, but the answers frequently do. So true.

You might assume that standard medical advice was supported by mounds of scientific research. But researchers recently discovered that nearly 400 routine practices were flatly contradicted by studies published in leading journals.

Of more than 3,000 studies published from 2003 through 2017 in JAMA and the Lancet, and from 2011 through 2017 in the New England Journal of Medicine, more than one of 10 amounted to a “medical reversal”: a conclusion opposite of what had been conventional wisdom among doctors.

“You come away with a sense of humility,” said Dr. Vinay Prasad of Oregon Health and Science University, who conceived of the study. “Very smart and well-intentioned people came to practice these things for many, many years. But they were wrong.”

Some of those ideas have been firmly dislodged, but not all. Now Dr. Prasad and his colleagues are trying to learn how widespread are discredited practices and ideas.

Here are 10 findings that contradict what were once widely held theories.

  • Peanut allergies occur whether or not a child is exposed to peanuts before age 3.

Pediatricians have counseled parents to keep babies away from peanuts for the first three years of life. As it turns out, children exposed to peanuts before they were even 1 year old have no greater risk of peanut allergies.

  • Fish oil does not reduce the risk of heart disease.

At one point, the notion that fish fats prevented heart trouble did seem logical. People whose diets contain a lot of fatty fish seem to have a lower incidence of heart disease. Fatty fish contains omega-3 fatty acids. Omega-3 supplements lower levels of triglycerides, and high levels of triglycerides are linked to an increased risk of heart disease. Not to mention that omega-3 fatty acids seem to reduce inflammation, a key feature of heart attacks.

But in a trial involving 12,500 people at risk for heart trouble, daily omega-3 supplements did not protect against heart disease.

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