Do surgeries work? Most of us assume they do, but is there any scientific evidence that they do?

In this episode, I talk to Dr Ian Harris who is a Professor of Orthopaedic Surgery at the University of New South Wales in Australia. He is a practicing orthopedic surgeon specializing in trauma surgery. Outside his practice, his research interests broadly cover the topic of surgical effectiveness and clinical research.

1:38 – Science as a way of knowing things
9:15 – Why medical professionals refuse to believe scientific evidence?
15:05 – What is a placebo?
19:16 – How strong is the placebo effect in surgeries?
22:05 – History of bloodletting in medicine and how we stopped this practice
24:31 – The myths of knee surgery
28:26 – Why doctors need to be held accountable
32:26 – Why are there no regulatory authorities in surgery like there are in new medicine?
35:14 – Latest studies on why half of the surgeries are ineffective
41:00 – Need for randomized trials for discovering which surgeries actually work
44:48 – Why is surgery the ultimate placebo?
47:12 – How much effort does it take to do a meta-analysis or a systematic review?
47:29 – How to improve meta-reviews via living systematic reviews
49:54 – What should you be asking your doctor if you are recommended a surgery?

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