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Towards evidence based medicine for paediatricians
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Clashing concepts
One thing I meet (fairly often) is the clash between the randomised controlled trial (RCT) and the patient ‘preference’. Take an example—topical anaesthesia for accessing implanted central lines in children and young people with cancer. For those who don't know, nearly every child who needs chemotherapy in Western Europe, North America and Australasia will have a surgically placed central venous line (CVL) …
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