VAKSIN-EBM


Artikel review dari New England Journal of Medicine (NEJM) Jurnal dengan IF 72.406 (Tahun 2017)
Arikel keluaran 3 Agustus 2017 loh.

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Rame-rame bahas tentang penolakan vaksin. Tak jarang mereka menggunakan artikel-artikel ilmiah di jurnal-jurnal terkenal. Macem ngambil dari website sciencedirect.com tapi nyatanya membaca penelitian khusus ilmu kesehatan tidak sekedar membaca. Tapi perlu memahami piramida penelitian yang salah satunya berdasarkan design penelitian nya. di artikel ini ada suatu bahasan menarik dari pembahasan pada piramida penelitian tersebut, khususon membahas RCT dan observasional study. Entah mengapa saya tiba-tiba ter-linked ke kejadian saat ini. Intinya, bukan kami (termasuk calon) tenaga kesehatan merasa lebih mengerti, tapi setidak nya penjelasan kami didengar dahulu, baru kemudian kita berdiskusi secara sehat. Jangan tiba-tiba menjudge (maaf) dengan bodoh, karena tanpa data apapun.

By the way, Saya paling suka kalimat terakhir di artikel NEJM ini :

"There is no single, best approach to the study of health interventions; clinical and public health decisions are almost always made with imperfect data. Promoting transparency in study methods, ensuring standardized data collection for key outcomes, and using new approaches to improve data synthesis are critical steps in the interpretation of findings and in the identification of data for action, and it must be recognized that conclusions may change over time. There will always be an argument for more research and for better data, but waiting for more data is often an implicit decision not to act or to act on the basis of past practice rather than best available evidence. The goal must be actionable data — data that are sufficient for clinical and public health action that have been derived openly and objectively and that enable us to say, “Here’s what we recommend and why.”".

Semoga beramanfaat :)

http://www.nejm.org/doi/full/10.1056/NEJMra1614394

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M Imadudin Siddiq 

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