Abstract
The treatment of unruptured aneurysms (UAs) continues to make the news. In a series of well-written articles, we are told that there is something to learn from looking at death and discharge to long-term facilities from a large US hospital data base, cross-matching International Classification of
Highlights
Unruptured Intracranial Aneurysms: Why Clinicians Should Not Resort to Epidemiologic Studies to Justify Interventions
No one should accept our claim if treatment X turned out to be a prescription for sugar pills
The second part of this thought experiment is to imagine a study using similar methods to lead to the title, “Better Patient Outcomes in Outpatient Clinics Than in Intensive Care Units.”
Summary
Unruptured Intracranial Aneurysms: Why Clinicians Should Not Resort to Epidemiologic Studies to Justify Interventions The title of our article reads, “Better Outcomes with X Than with Coiling in the US, 2001– 2008.” No one should accept our claim if treatment X turned out to be a prescription for sugar pills. The first reminder is that clinical research must first define appropriate end points capable of capturing risks and benefits to patients.
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