Predictions and Parachutes




Radiology Firing Line show

Summary: What does it take to create a decision rule? In this podcast Saurabh Jha (@RogueRad) has a discussion with Robert W. Yeh MD MBA about the deep though and complex statistics involved in creating a decision rules ti guide therapy which have narrow risk-benefit calculus, specifically a rule for how long patients should continue dual anti-platelat therapy after percutaneous coronary intervention (1). They also discuss the motivation behind the legendary, and satirical, parachute RCT published in the recent Christmas edition of the BMJ (2), which delighted satirists all over the world (3). Dr. Robert W. Yeh is the Director of the Richard and Susan Smith Center for Outcomes Research in Cardiology at the Beth Israel Deaconess Medical Center, and Associate Professor of Medicine at Harvard Medical School. An extremely accomplished scholar whose research transcends many types of methodologies. (1) https://jamanetwork.com/journals/jama/fullarticle/2508253 (2). https://www.bmj.com/content/363/bmj.k5094 (3). https://thehealthcareblog.com/blog/2018/12/22/evidence-based-satire/