PhilosopherMD (@philosophermd1) 's Twitter Profile
PhilosopherMD

@philosophermd1

This is my no politics Twitter account. I need some sanity occasionally. Physician & Meta-Physician #Theology #Philosophy #Oncology #Statistics #Investing

ID: 1103158619284090880

calendar_today06-03-2019 05:01:25

1,1K Tweet

423 Followers

261 Following

PhilosopherMD (@philosophermd1) 's Twitter Profile Photo

Tail Risk / risk of "blowing up" a la Nassim Nicholas Taleb must be considered. LDR brachy for prostate per ASCENDE shows risk of death in 2 pts and these sound like horrible deaths! Debilitating pain + MI/PE in 1 pt and Fournier gangrene in another. I don't believe this is worth it for bPFS

Tail Risk / risk of "blowing up" a la <a href="/nntaleb/">Nassim Nicholas Taleb</a> must be considered. LDR brachy for prostate per ASCENDE shows risk of death in 2 pts and these sound like horrible deaths! Debilitating pain + MI/PE in 1 pt and Fournier gangrene in another. I don't believe this is worth it for bPFS
PhilosopherMD (@philosophermd1) 's Twitter Profile Photo

Great article regarding surrogate endpoints. Drugs that initially had an increase in PFS in early studies were found decrease OS in later studies (see Table 1). ascopubs.org/doi/full/10.12


Common Sense Oncology (@csoncol) 's Twitter Profile Photo

Our inaugural paper, our manifesto is now out in The Lancet Oncology . This paper describes our mission, vision, and guiding principles. We also now invite you all to join our movement- our website is now live. thelancet.com/journals/lanon


Our inaugural paper, our manifesto is now out in <a href="/TheLancetOncol/">The Lancet Oncology</a> . This paper describes our mission, vision, and guiding principles. We also now invite you all to join our movement- our website is now live. thelancet.com/journals/lanon

PhilosopherMD (@philosophermd1) 's Twitter Profile Photo

Excellent article on how studies have inappropriately calculated “improvement” in OS when it’s a 2nd endpoint and how to lookout for and fix this issue. ascopubs.org/doi/full/10.12


PhilosopherMD (@philosophermd1) 's Twitter Profile Photo

Does anybody know the gr4 rate for prostate? 0415 only 1 gr4 and PACE-B had 0. 10 patients with Gr4 w/protons. A little less gr 1-3 toxicity but a higher risk of Gr4 toxicity - Doesn’t seem worth it. The paper below states Gr4 should be a “zero event” but still calls H+ safe đŸ€”

Susannah Ellsworth (@free_radical28) 's Twitter Profile Photo

"Black swan events" (eg change in supervision req's) & decline in medicare population also likely to depress demand side. Per excellent discussion by Chirag Shah residency contraction may be needed to better match supply & demand

Frank Harrell (@f2harrell) 's Twitter Profile Photo

Fantastic new paper on sample size requirements of statistical models vs. #MachineLearning , except for not giving proper emphasis to smooth calibration curves: onlinelibrary.wiley.com/doi/10.1002/si
 #Statistics

PhilosopherMD (@philosophermd1) 's Twitter Profile Photo

Crazy how Twitter lets us look at these back and forth arguments from these renowned experts! I highly recommend going through these threads - guaranteed to make you smarter 🧠 Stephen John Senn Frank Harrell Judea Pearl

Matt Spraker (@sprakermdphd) 's Twitter Profile Photo

PhilosopherMD Nadeem Riaz C. Jillian Tsai, MD, PhD Nancy Lee I know a lot of people that thought it was kinda nuts it became category 1 NCCN off a tiny single arm study. Pointing out that things were done poorly in another subsection of oncology is not a good argument for doing another thing poorly.

Prof. Nikolai Slavov (@slavov_n) 's Twitter Profile Photo

Biology has more data than ever before. We need to focus on interpreting these data. On the logical connections & the supportable conclusions. Falsifiable models can lead to reliable models.

Biology has more data than ever before.

We need to focus on interpreting these data.

On the logical connections &amp; the supportable conclusions.

Falsifiable models can lead to reliable models.