Bogduk Nikolai
The University of Newcastle, Newcastle, Australia, PO Box 431, East Maitland, NSW, 2323, Australia.
Interv Pain Med. 2022 Aug 15;1(Suppl 2):100125. doi: 10.1016/j.inpm.2022.100125. eCollection 2022.
Claims that a treatment works are hollow unless qualified in terms of: in what respects, by how much, how often, and for how long. Essential co-requisites for improvements in pain are improvements in function, psychological distress, and use of health care. Validated instruments are available for these outcome measures. Mean scores and p-values are not informative. Categorical data are required to reveal by how much a treatment works and how often. In order to provide a full picture, outcomes need to be followed until they plateau. Readers of studies should not rely on what authors claim. Instead, readers should demand comprehensive, transparent data on outcomes so that they can decide for themselves if a treatment works to their satisfaction.
声称一种治疗方法有效是空洞的，除非在以下方面进行限定：在哪些方面、改善程度如何、频率怎样以及持续时间多长。疼痛改善的基本必备条件是功能、心理困扰和医疗保健使用方面的改善。有经过验证的工具可用于这些结果测量。平均分数和p值并无参考价值。需要分类数据来揭示一种治疗方法的效果如何以及频率怎样。为了提供全面的情况，需要跟踪结果直至其趋于平稳。研究的读者不应依赖作者的声称。相反，读者应该要求提供关于结果的全面、透明的数据，以便他们能够自行决定一种治疗方法是否令他们满意。
