Well, not really.
One thing I always wondered was how many of those were actually germane to the 3rd greatest cause of death claim.
Well, thank you wonderful local #library #Ilovemylibrary
The book arrived today:
The relevant chapter seems to be 21 "General system failure calls for revolution".
Subtitle: "OUR DRUGS KILL US"
He starts off by saying "Good data are available..."
And has three (3) references for this.
I'll link to them in the next tweet...
Weingart et al 2000
Starfield 2000 which is actually a commentary;
"Is US health really the best in the world?"*
And Lazarou 1998:
First up is Weingart:
Errors often due to inexperienced clinicians and new procedures being introduced.
Risk factors: extremes of age, complex care & prolonged hospital stay.
Medical errors should be reduced, no mistake.
This just doesn't support Peter's claims.
I hope one of Peter's fans will rush in and tell me how I have it all wrong? And point me to other bits in the book with references which actually show prescribed drugs to be the third leading caused 💀
But again it's USA and it's hospitalized.
And, yes, I did read the full paper. But the abstract is valid:
"CONCLUSIONS: The incidence of serious and fatal ADRs in US hospitals was found to be extremely high."
"While our results must be viewed with circumspection because of heterogeneity among studies and small biases in the samples, these data nevertheless suggest that ADRs represent an important clinical issue."
I agree, who wouldn't?
Lazarou says his results should be regarded with circumspection and concludes drugs are about 4th to 7th as cause of death.
In hospitalized patients.
In the US.
And he didn't say it was the third leading cause of death either.
So where does Peter get his confidence?
Oh, next up is the European Commission which has apparently estimated adverse reactions kill 200,000 annually.
What's his reference?
Weirdly it's a letter from K Archibald to D Cameron...
I'm not sure of the population of Europe? 500+million? Deaths each year? 5 million?
But it doesn't stop dear old Peter...
And Peter triumphantly declares:
"drugs are the third leading cause of death after heart disease and cancer"
Er, no mate?
You were supposed to demonstrate that, and show your workings.
This is pathetic.
I'm pretty sure lots of people die due, finally, to the drugs they're taking.
We have to die of something. Personally I'm all for palliative care which may hasten death when life becomes a burden, rather than a blessing.