Tuesday, August 30, 2016

What Can Treatment Scores Do For You?

Treatment Scores aims to provide users (both physicians and patients) with the ability to understand optimal medical treatments, without having to decipher the mass amounts of good and bad medical literature that there is out in the huge world of information and studies.  Physicians are under a lot of pressure to keep up with the latest studies in medical information.  They are not given many means to do this easily or in a timely fashion.  There are so many resources (Internet, societies, magazine, journal articles) that publish different studies on similar information. There is no way a single physician can keep up with all of this medical knowledge. This leads to physicians practicing ancient medicine, and also leads to physician burnout when they try to consolidate the most prevalent information for their patients.

From a patient standpoint, they have more access to vast amounts of information on healthcare.  One would think that this would enable them to better assess their own health. However, due to the massive amounts of information on the Internet, this actually, more often than not, leads to inaccurate information and assessment of one's own health issues.

One purpose of Treatment Scores is to compile all of the medical information in journal articles, papers, the internet, etc, and put it in one place. Additionally, we aim to make this information available to everyone, in a way that is easy to understand. This will serve to lessen the burden on physicians to search the world for new studies. This will also allow patients to access one site, to find out what treatments may serve them best for their single condition. That is not to say that patients will be able to treat themselves, but they may be able to do more accurate research on their diagnosed disease. Patients would thus be able to have an educated conversation with their physicians, about their treatment options.

The physicians at Treatment Scores are working to objectively and mathematically compile this information for the public. It will take some time, but it will be done.
(See the disclaimers below).

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DISCLAIMERS:
You must consult your own licensed physician, or other licensed medical professional, for diagnosis, treatment, and for the interpretation of all medical statistics including Treatment Scores. Treatment Scores are for educational purposes only. Treatment Scores may be incomplete, inaccurate, harmful, or even cause death if used for treatment instead of consulting a licensed medical professional. No medical advice is being given. We DO NOT CLAIM to cure, treat, or prevent any illness or condition. Nor do our services provide medical advice or constitute a physician patient relationship. Contact a physician or other medical professional if you suspect that you are ill. Call emergency services (call 911 if available) or go to the nearest emergency room if an emergency is suspected. We are not responsible for any delays in care from using our website, our services, or for any other reason. We are not responsible for any consequential damages of any nature whatsoever. We make no warranties of any kind in connection with our writings or the use of TreatmentScoresBlog.com or TreatmentScores.com. Treatment Scores are about what happened to patients studied in the past; they do not predict the future.

COPYRIGHT:
Copyright © 2016 Treatment Scores, Inc.


Tuesday, August 23, 2016

Treatment Scores: Social Media Update

We need better treatment transparency. Patients need better treatment transparency! All medical treatments need to be quantified into Treatment Scores. Eventually, Treatment Scores will do three things for patients, physicians, and the healthcare system:

  1. improve patient care 
  2. save time 
  3. save money
You should follow Treatment Scores on social media to support our mission of quantifying all medical treatments in order to provide better treatment transparency (for all patients and doctors around the world).

Twitter @TreatmentScores
6,227 followers
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Facebook Page Likes:
2,220
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Facebook Video Views:
70,214
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AngelList.co
89 followers
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AngelList.co
816 Connections
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angelMD.co
8 followers
https://www.angelmd.co/startups/treatmentscoresinc

LinkedIN
500+ connections
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Treatment Scores blog
40,314 visits
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Friday, August 12, 2016

Efficacy of Bioidentical Hormone Replacement

I have been questioned by many patients whether hormone replacement therapy is safe or not.  This is a very good question, as I don't personally believe we know the true answer to that question.  Based on the Women's Health Intiative study that came out in 1996, hormone replacement therapy (HRT) is a bad thing.  That study revealed that the combination of Prover and Premarin led to things such as breast cancer, blood clots, and more.  After that time, many women were taken off of their HRT. Well, it is no surprise that women did not like to be off of their HRT, as their menopausal symptoms returned.

Bioidential hormone replacement therapy (BHRT) then came in to play.  BHRT claims to give women chemically identical hormones to the ones that naturally exist in their bodies at younger ages. These hormones are compunded in yams or soy.  The HRT study done in the 90s was based on hormones that were not biochemically identical to our naturally occurring hormones, such as horse estrogens (those found in Premarin).  Many physicians now prescribe BHRT, while other physicians continue to believe that all HRT is bad, no matter where it comes from.

There are not many studies dedicated to BHRT for women.  In fact, most physicians who prescribe BHRT claim that there are no studies with adverse effects of BHRT, and they use this as a reason to prescribe BHRT and label it as "safe"

I elected to find at least one decent study on BHRT to properly assess the actual risk versus benefit of BHRT for women.  I actually only found one study that was adequate to even consider putting it into Treatment Scores.  However, when I began to put this study into the STAR blocks, I immediately realized that this study was going to get an "F" grade.


This study compared topical BHRT to sublingual.  It claimed the "Wilcoxon signed-rank test" as the main statistic to compare menopausal symptom improvement in women.  However, the complete article was not available to read, and the abstract did not even mention results of their main statistic. Additionally, the main outcome that they measured is a way to see if 2 means differ, it does not actually evaluate and measure treatment outcomes! In order for a study to even begin to allow us to evaluate and grade it, it must be looking at treatment outcomes. The treatment outcomes in this study are things like hot flashes, night sweats, irritability, anxiety, fatigue, emotional lability, sleep disturbances, memory loss, fatigue, and libido. What they really needed to do is combine all those symptoms into a questionnaire and develop a symptom score for menopausal symptoms that is on a 100 point scale.

Again, the scientific research and it's availability to the public needs to be altered.  We need clear and concise information as physicians in order to get the best outcomes when treating our patients. Additionally, patients need to have access to the ever changing recommendations of medicine that exists today.  

Sources:
http://www.ncbi.nlm.nih.gov/pubmed/24881343

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Follow this blog by entering your email address in the box at the top right. You MUST CONFIRM your subscription VIA EMAIL. Then, you will automatically receive all new posts. If you have any problems, search for "feedburner" to make sure the confirmation email did not go into your spam folder.

Follow TREATMENT SCORES on Social Media:
Twitter:
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Facebook:
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AngelList:
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Blog:
http://TreatmentScoresBlog.com
Website:
http://TreatmentScores.com

DISCLAIMERS:
You must consult your own licensed physician, or other licensed medical professional, for diagnosis, treatment, and for the interpretation of all medical statistics including Treatment Scores. Treatment Scores are for educational purposes only. Treatment Scores may be incomplete, inaccurate, harmful, or even cause death if used for treatment instead of consulting a licensed medical professional. No medical advice is being given. We DO NOT CLAIM to cure, treat, or prevent any illness or condition. Nor do our services provide medical advice or constitute a physician patient relationship. Contact a physician or other medical professional if you suspect that you are ill. Call emergency services (call 911 if available) or go to the nearest emergency room if an emergency is suspected. We are not responsible for any delays in care from using our website, our services, or for any other reason. We are not responsible for any consequential damages of any nature whatsoever. We make no warranties of any kind in connection with our writings or the use of TreatmentScoresBlog.com or TreatmentScores.com. Treatment Scores are about what happened to patients studied in the past; they do not predict the future.

COPYRIGHT:
Copyright © 2016 Treatment Scores, Inc.