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Duncan

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53 total appearances

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Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Welcome back to Talk Evidence, your weekly look at the evidence around coronavirus.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Last week we focused very much on the ONS death data in the UK and we'll be getting a little update on that, but this week we are going to be looking a bit more broadly at ethics and generally at waste and research.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

As always, I'm joined by our two favourite EBM nerds, Helen MacDonald, Resting GP and UK Research Editor for the BMJ.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Hello, Helen.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And Carl Hennigan, GP, Professor at Oxford and Editor-in-Chief of BMJ EBM.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Hi, Carl.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

As always, Carl, you've had another busy week and we saw you are

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

talking to national media on Newsnight with David Spiegelhalter, who was our guest last week, talking a little bit about that ONS data.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Now, David last week suggested that he thought there was going to be another peak because of the way that data is collected.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Did we see some of that?

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

So these raise important questions, I suppose, about the natural history of COVID, and we'll be wanting to pick that up in another episode, I think.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

One question that David, or three things that David thought might be suggesting some of the excess deaths there that didn't have a direct COVID-related line on the death certificate were,

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

because there were, we'd had a mild winter, and there were a lot of frail elderly people, we might have expected to die from flu or whatever else in that period, who didn't.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

The fact that there might be, you know, reluctance to diagnose COVID, if that wasn't absolutely the obvious cause of death.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And then finally, because there are these people who might not be going into hospital, even though they needed to.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Did any of that become more clear?

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And you spoke about that last week, and I'm sure this is a topic we're going to be coming back to.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Great.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Well, there is a quick update on that data for you.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

So in talk evidence, we usually have some start stops.

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