Dr Noertjojo responds

Issue: BCMJ, vol. 53 , No. 2 , March 2011 , Pages 67 Letters

Thank you for your comments, which I agree with. What we did in our article on chronic pain was simply searching (of level 1 or 2 evidence), appraising it, and summarizing it. As such, it doesn’t mean that we are endorsing it, or that WorkSafeBC is reimbursing for it.


Thank you for your comments, which I agree with. What we did in our article on chronic pain was simply searching (of level 1 or 2 evidence), appraising it, and summarizing it. As such, it doesn’t mean that we are endorsing it, or that WorkSafeBC is reimbursing for it.

On most of these alternative medicine modalities, I am in agreement with you, not only in the efficacy/effectiveness of the treatment modalities such as therapeutic touch, but also in the problem with systematic reviews or meta-analysis in general (for example, the systematic review on acupuncture published in Cochrane Library). Hence, in doing our work, usually we try to put it into context, and perhaps most importantly, we critically appraise these primary or secondary studies. As you found, most of our work is posted online.

We did write a lengthier article on this topic, but unfortunately we ran out of space and had to cut it down significantly (a longer summary on this topic is available online at www.worksafebc.com/health_care_providers/Assets/PDF/poster-presentations/ChronicPainTreatmentsEvidence.pdf). 

As you will see from this longer summary, even though we may find “positive evidence,” it does not necessarily mean that we approve of, en­dorse, or reimburse for the treatment.
—Kukuh Noertjojo, MD
Evidence-based Practice Group
WorkSafeBC

Kukuh Noertjojo, MD,. Dr Noertjojo responds. BCMJ, Vol. 53, No. 2, March, 2011, Page(s) 67 - Letters.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

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