→Removal of cited information: not OK to remove Vickers |
→Removal of a 2017 review: NICE & Harrisons say acu works for certain things, so no mainstream consensus. We should evaluate sources based on their quality not their conclusions otherwise we're putting cart before horse |
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:::::::::Well, I think it matters. I wouldn't necessarily extrapolate the poor quality of the Korean literature in the field of acupuncture to Korean literature in all other medical subjects. The article you provided certainly speaks volumes about the quality of the Korean literature on acupuncture. I'm not suggesting it's ambiguous about that. [[User:TylerDurden8823|TylerDurden8823]] ([[User talk:TylerDurden8823|talk]]) 07:19, 22 August 2018 (UTC) |
:::::::::Well, I think it matters. I wouldn't necessarily extrapolate the poor quality of the Korean literature in the field of acupuncture to Korean literature in all other medical subjects. The article you provided certainly speaks volumes about the quality of the Korean literature on acupuncture. I'm not suggesting it's ambiguous about that. [[User:TylerDurden8823|TylerDurden8823]] ([[User talk:TylerDurden8823|talk]]) 07:19, 22 August 2018 (UTC) |
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::::::::::I was only referring to the qualities of Korean medical science wrt acupuncture. I have no particular problem with, for example, a Korean new drug study. <span style="text-shadow:grey 0.118em 0.118em 0.118em;">[[User:MPants at work|<span style="color:green;">'''ᛗᛁᛟᛚᚾᛁᚱPants'''</span>]] [[User_talk:MPants at work|<small>Tell me all about it.</small>]]</span> 12:29, 22 August 2018 (UTC) |
::::::::::I was only referring to the qualities of Korean medical science wrt acupuncture. I have no particular problem with, for example, a Korean new drug study. <span style="text-shadow:grey 0.118em 0.118em 0.118em;">[[User:MPants at work|<span style="color:green;">'''ᛗᛁᛟᛚᚾᛁᚱPants'''</span>]] [[User_talk:MPants at work|<small>Tell me all about it.</small>]]</span> 12:29, 22 August 2018 (UTC) |
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We should evaluate sources based on their quality not their conclusions. Re mainstream: [[NICE]] guidelines recommend acupuncture for chronic tension-type headaches and migraines [https://www.nhs.uk/news/medical-practice/experts-debate-whether-acupuncture-can-relieve-chronic-pain/]. [[Harrison's]] (2015 pdf) recommends it for several conditions including dysmennorhea, knee OA and chronic flank, back, or abdominal pain due to renal enlargement in [[ADPKD]]. NICE and Harrison's are as mainstream as it gets last I checked. --[[User:Middle 8|Middle 8]] <small>([[User talk:Middle 8|t]] • [[Special:Contributions/Middle_8|c]] | [[User:Middle_8/Privacy|privacy]] • [[User:Middle_8/COI|acupuncture COI?]])</small> 09:03, 1 December 2018 (UTC) |
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== Removal of cited information == |
== Removal of cited information == |
Revision as of 09:03, 1 December 2018
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Removal of a 2017 review
I recently added this 2017 review article to the section on Effectiveness (specifically the subsection thereof "Pain"). But this edit was soon reverted by MPants at work, apparently because it is too recent to have made a significant impact, and is "a little fishy, to boot". MPants further cited WP:DUE to justify his removal of this article. [1] However, there appears to be no reason to believe that the conclusions of this review article, positive though they may be regarding acupuncture, are "fringe" views that thus need to be minimized. It appears that this source, far from being the sort of fringe publication that should be excluded by WP:DUE, is the sort of recently-published review article in a reputable peer-reviewed journal (Current Opinion in Anesthesiology) that we should be trying to include per WP:MEDRS. But if MPants or anyone else wishes to explain why this sources is "fishy" or should be excluded for another reason I'm all ears. IntoThinAir (formerly Everymorning) talk 00:14, 17 July 2018 (UTC)
- Just as a point of fact, by definition, sources that support the efficacy of acupuncture have fringe conclusions. That doesn't make them invalid, but the mainstream view is that acupuncture is not effective, hence the conclusions of this study are fringe. However, that's not so much the problem in this case, per se. The WP:DUE reason here is that there's nothing about this study that makes it at all clear why it was picked. It's just one, random study by a couple of unremarkable researchers claiming to show that acupuncture is effective, tacked on to the end of a paragraph about the effectiveness of accupuncture that, for the most part, clearly disagrees with the results of this study. (That's leaving out the use of language like "growing evidence".) As for the date: It's a 2017 review. It hasn't had a chance to establish an impact in the field. It's just one of the things that make this study unremarkable. We generally prefer studies and surveys that have been around a few years and gathered up a bunch of citations; preferably those which have had their results duplicated.
- Finally the fishiness: the review starts by exclaiming that acupuncture is effective. It then "finds" that acupuncture is effective. <sound of crickets chirping> That's not just a red flag, that's a guy in a red suit with a red face from drinking frantically waving a red flag soaked in his own urine while blathering about aliens and anal probes. Good science never sets out to answer a question by stating that one answer is true in unambiguous terms. Of course, this is actually par for the course with acupuncture research.
- Then there's the usual "Multiple Asian authors and one Westerner", with the Asian contributors clearly the actual authors (Author information says: Acupuncture Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea, yet Buchheit is with The Pain Society of the Carolinas) used to make acupuncture research look more legitimate by making it look less Asian. Then, it's published in a relatively low-impact journal (there's another journal by the same publisher, covering the same field with twice the impact factor). Like I said, it's just fishy. It might turn out to be okay, but I highly doubt that any credible researchers would give this study the time of day. Of course, in a few years, we might see that I was wrong, when this article has hundreds of cites and is referenced as establishing the scientific consen- Oh, wait. I just saw how it concludes. Further studies on its use as an adjunct or alternative to opioids, and in perioperative settings are needed. ᛗᛁᛟᛚᚾᛁᚱPants Tell me all about it. 02:59, 17 July 2018 (UTC)
- Do you have a reliable source to support your clearly extraordinary claim that "the mainstream view is that acupuncture is not effective"? Without such a source any claim that "by definition, sources that support the efficacy of acupuncture have fringe conclusions" is clearly untenable. Dismissing the article as being by "unremarkable researchers" is of course an ad hominem that has no bearing on whether or to what extent the conclusions of the article are valid. Notably, you failed to address the point I made regarding the fact that WP:MEDRS (specifically the section WP:MEDDATE) recommends that recent literature reviews be included, meaning the complaint about this article not having had enough time to get a lot of citations is invalid: that it was published recently is a strength, not a weakness. In addition, their statement that more research is needed appears to be with reference not to acupuncture's effectiveness in general, or with respect to chronic pain, but rather with respect to its use "an adjunct or alternative to opioids, and in perioperative settings" (as shown in the quote you yourself cited above). That two of the three authors are of Asian descent seems of little to no relevance to the credibility of the article's conclusions--I am aware of the issue of almost all Chinese studies producing positive results, but none of the authors have any affiliations in China. So I am, in general, skeptical of the argument that this should be excluded. IntoThinAir (formerly Everymorning) talk 03:31, 17 July 2018 (UTC)
- The new review discusses five new human trials (most of the papers reviewed are animal trials, or publications that are not clinical trials). And one of those trials only had 8 people and no control group. And the only of the five with more than 100 subjects wasn't even designed to test efficacy. It contributes literally nothing to the body of knowledge on acupuncture effectiveness, except to point out that people continue to publish studies from which no conclusions can be drawn. Someguy1221 (talk) 03:43, 17 July 2018 (UTC)
Do you have a reliable source to support your clearly extraordinary claim that "the mainstream view is that acupuncture is not effective"?
Ahh, so you were POV pushing with that addition. That explains it. But to answer your question:- Myint Swe Khine (2011) Advances in Nature of Science Research: Concepts and Methodologies Springer Science & Business Media, New York, NY
- Baran G.R., Kiani M.F., Samuel S.P. (2014) Science, Pseudoscience, and Not Science: How Do They Differ?. In: Healthcare and Biomedical Technology in the 21st Century. Springer, New York, NY
- Barrett, Stephen M.D. Be Wary of Acupuncture, Qigong, and "Chinese Medicine" http://www.quackwatch.org/01QuackeryRelatedTopics/acu.html (this one has it's own list of references worth checking out)
- Brian M. Berman, M.D., Helene M. Langevin, M.D., Claudia M. Witt, M.D., M.B.A., and Ronald Dubner, D.D.S., Ph.D. (2010) Acupuncture for Chronic Low Back Pain New England Journal of Medicine 2010; Volume 363, pages 454-461
- Andrew C. Ahn, Agatha P. Colbert, Belinda J. Anderson, Ørjan G. Martinsen, Richard Hammerschlag, Steve Cina, Peter M. Wayne, Helene M. Langevin (2008) Electrical properties of acupuncture points and meridians: A systematic review Bioelectromagnetics Volume 29, Issue 4
- Christopher J. Standaert; Janna Friedly; Mark W. Erwin; Michael J. Lee; Glenn Rechtine; Nora B. Henrikson; Daniel C. Norvell (2011) Comparative Effectiveness of Exercise, Acupuncture, and Spinal Manipulation for Low Back Pain Spine, Volume 36, Pages 120-130
- E. Ernst (2005) Acupuncture – a critical analysis Journal of Internal Medicine Volume 259, Pages 125-137
- Shu-Ming Wang, Zeev N. Kain, Paul F. White (2008) Acupuncture Analgesia: II. Clinical Considerations Anesthesia & Analgesia, Volume 106(2) Pages 611-621
- Ernst, E.; Lee, Myeong Sooa; Choi, Tae-Youngb (2011) Acupuncture: Does it alleviate pain and are there serious risks? A review of reviews Pain, Volume 152(4), Pages 755-764
- Ernst, Edzard (2009) Acupuncture: What Does the Most Reliable Evidence Tell Us? Journal of Pain and Symptom Management, Volume 37(4), Pages 709-714
- There's plenty more where that came from.
Dismissing the article as being by "unremarkable researchers" is of course an ad hominem that has no bearing on whether or to what extent the conclusions of the article are valid.
Cherry picking, are we now? Don't pretend to call out "fallacies" in another editors argument if you can't be bothered to maintain a higher level of integrity, yourself. Either quote me in context or don't quote me at all, thanks.Notably, you failed to address the point I made regarding the fact that WP:MEDRS (specifically the section WP:MEDDATE) recommends that recent literature reviews be included
I thought you had already read WP:RECENTISM, which is explicitly warned against in WP:MEDRS. If I was mistaken in that assumption, I apologize. So let me address your concern now: WP:RECENTISM.In addition, their statement that more research is needed
Using a higher level of specificity only transforms a vague and meaningless statement into a less vague but still meaningless statement.I am aware of the issue of almost all Chinese studies producing positive results, but none of the authors have any affiliations in China.
Then you should be aware that this tends to apply to Korean studies to a somewhat lesser extent, and to studies from institutes dedicated to promoting acupuncture to a much higher extent. ᛗᛁᛟᛚᚾᛁᚱPants Tell me all about it. 12:53, 17 July 2018 (UTC)- MPants at work, I'm curious to know where you heard this about Korean studies. Do you have a link to this information? TylerDurden8823 (talk) 08:31, 6 August 2018 (UTC)
- @TylerDurden8823: I've seen comparisons between Chinese and Korean science wrt acupuncture in numerous places. Off the top of my head, this is one example that actually goes into some detail about what the specific problems with Korean studies are. ᛗᛁᛟᛚᚾᛁᚱPants Tell me all about it. 12:31, 13 August 2018 (UTC)
- @MPants at work:, I don't see anything about the state of the medical literature from Korea in the cited article. Are you sure you cited the correct study? It looks like it's an older article examining the state of Korean literature specifically about acupuncture. Granted, it looks like it's mainly lower level evidence (e.g., case reports, series, uncontrolled/suboptimally controlled studies, etc, which still have some value (case reports can be a helpful type of evidence)) but it doesn't necessarily speak to the original question of whether medical literature from Korea suffers from similar questions about its overall integrity when compared to that of China. TylerDurden8823 (talk) 08:02, 21 August 2018 (UTC)
- It's a paper that weighs the results and analyses the methodology of literally every acupuncture study published in all Korean journals, and found the facts that they almost always show a positive result and they are virtually always of low methodological quality notable enough to mention in the abstract (not even saving it for the results). I don't see how that's at all ambiguous. Sure, an analysis of the overall state of Korean literature might not have been the stated goal of the authors, but that doesn't really matter when such an analysis was a part of their methodology, now does it? ᛗᛁᛟᛚᚾᛁᚱPants Tell me all about it. 01:26, 22 August 2018 (UTC)
- Well, I think it matters. I wouldn't necessarily extrapolate the poor quality of the Korean literature in the field of acupuncture to Korean literature in all other medical subjects. The article you provided certainly speaks volumes about the quality of the Korean literature on acupuncture. I'm not suggesting it's ambiguous about that. TylerDurden8823 (talk) 07:19, 22 August 2018 (UTC)
- I was only referring to the qualities of Korean medical science wrt acupuncture. I have no particular problem with, for example, a Korean new drug study. ᛗᛁᛟᛚᚾᛁᚱPants Tell me all about it. 12:29, 22 August 2018 (UTC)
- Well, I think it matters. I wouldn't necessarily extrapolate the poor quality of the Korean literature in the field of acupuncture to Korean literature in all other medical subjects. The article you provided certainly speaks volumes about the quality of the Korean literature on acupuncture. I'm not suggesting it's ambiguous about that. TylerDurden8823 (talk) 07:19, 22 August 2018 (UTC)
- It's a paper that weighs the results and analyses the methodology of literally every acupuncture study published in all Korean journals, and found the facts that they almost always show a positive result and they are virtually always of low methodological quality notable enough to mention in the abstract (not even saving it for the results). I don't see how that's at all ambiguous. Sure, an analysis of the overall state of Korean literature might not have been the stated goal of the authors, but that doesn't really matter when such an analysis was a part of their methodology, now does it? ᛗᛁᛟᛚᚾᛁᚱPants Tell me all about it. 01:26, 22 August 2018 (UTC)
- @MPants at work:, I don't see anything about the state of the medical literature from Korea in the cited article. Are you sure you cited the correct study? It looks like it's an older article examining the state of Korean literature specifically about acupuncture. Granted, it looks like it's mainly lower level evidence (e.g., case reports, series, uncontrolled/suboptimally controlled studies, etc, which still have some value (case reports can be a helpful type of evidence)) but it doesn't necessarily speak to the original question of whether medical literature from Korea suffers from similar questions about its overall integrity when compared to that of China. TylerDurden8823 (talk) 08:02, 21 August 2018 (UTC)
- @TylerDurden8823: I've seen comparisons between Chinese and Korean science wrt acupuncture in numerous places. Off the top of my head, this is one example that actually goes into some detail about what the specific problems with Korean studies are. ᛗᛁᛟᛚᚾᛁᚱPants Tell me all about it. 12:31, 13 August 2018 (UTC)
- MPants at work, I'm curious to know where you heard this about Korean studies. Do you have a link to this information? TylerDurden8823 (talk) 08:31, 6 August 2018 (UTC)
- Do you have a reliable source to support your clearly extraordinary claim that "the mainstream view is that acupuncture is not effective"? Without such a source any claim that "by definition, sources that support the efficacy of acupuncture have fringe conclusions" is clearly untenable. Dismissing the article as being by "unremarkable researchers" is of course an ad hominem that has no bearing on whether or to what extent the conclusions of the article are valid. Notably, you failed to address the point I made regarding the fact that WP:MEDRS (specifically the section WP:MEDDATE) recommends that recent literature reviews be included, meaning the complaint about this article not having had enough time to get a lot of citations is invalid: that it was published recently is a strength, not a weakness. In addition, their statement that more research is needed appears to be with reference not to acupuncture's effectiveness in general, or with respect to chronic pain, but rather with respect to its use "an adjunct or alternative to opioids, and in perioperative settings" (as shown in the quote you yourself cited above). That two of the three authors are of Asian descent seems of little to no relevance to the credibility of the article's conclusions--I am aware of the issue of almost all Chinese studies producing positive results, but none of the authors have any affiliations in China. So I am, in general, skeptical of the argument that this should be excluded. IntoThinAir (formerly Everymorning) talk 03:31, 17 July 2018 (UTC)
We should evaluate sources based on their quality not their conclusions. Re mainstream: NICE guidelines recommend acupuncture for chronic tension-type headaches and migraines [2]. Harrison's (2015 pdf) recommends it for several conditions including dysmennorhea, knee OA and chronic flank, back, or abdominal pain due to renal enlargement in ADPKD. NICE and Harrison's are as mainstream as it gets last I checked. --Middle 8 (t • c | privacy • acupuncture COI?) 09:03, 1 December 2018 (UTC)
Removal of cited information
@SkepticalRaptor: Please explain why you have removed cited information from the page. How can a direct quote from a cited source constitute a POV comment? Morgan Leigh | Talk 07:55, 21 November 2018 (UTC)
- @Morgan Leigh: You've been told before of WP:STICK. Tgeorgescu (talk) 02:01, 23 November 2018 (UTC)
- Um no. Not OK to remove a properly-weighted Vickers. It should be among the very first mentioned because it's about the highest-quality meta-analysis there is -- AFAIK the only IPD one, which Cochrane calls the "gold standard" of systematic review. (pings @SkepticalRaptor: @Tgeorgescu: @Morgan Leigh:) --Middle 8 (t • c | privacy • acupuncture COI?) 08:44, 1 December 2018 (UTC)
Removal of Category 'Medicine'
@Roxy the dog: Please explain why you have removed the category Medicine from this article. I refer you to the lead of the article that says that "Acupuncture is a form of alternative medicine". Morgan Leigh | Talk 01:54, 27 November 2018 (UTC)
- Yes, and the article is in the "Alternative Medecine" category. So all is good. --McSly (talk) 02:00, 27 November 2018 (UTC)
- What McSly said. -Roxy, the naughty dog. wooF 08:30, 27 November 2018 (UTC)