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Invasive procedures with questionable indications and possible placebo effects

Sergei V. Jargin.

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Abstract
This article provides an overview of surgical procedures performed with questionable or excessively radical indications, such as the lung denervation as a treatment of asthma, or the porto-systemic shunting for Type 1 diabetes mellitus. An immediate effect of an invasive procedure including a surgical operation can be influenced by different non-specific factors including a placebo effect. There is an opinion that surgery is associated with a placebo-effect, which can be stronger in case of a more invasive procedure. Reported moderate efficiency of the procedures discussed here could have been caused by placebo effect and/or inexact evaluation. These days, the improvement of Russian economy has enabled the acquisition of modern equipment and supported increasing levels of medical research. Under these circumstances, the purpose of this review is to help to correct the historical problems of surgery in Russia and to remind that, when performing surgical or other invasive procedures, the risk-to-benefit ratio should be minimized.

Key words: Asthma, denervation, diabetes mellitus, gastroduodenal ulcer, shunting


 
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Sergei V. Jargin. Invasive procedures with questionable indications and possible placebo effects. Arch Clin Exp Surg. 2015; 4(4): 215-221. doi:10.5455/aces.20140810014858


Web Style

Sergei V. Jargin. Invasive procedures with questionable indications and possible placebo effects. http://www.acesjournal.org/?mno=160375 [Access: January 19, 2018]. doi:10.5455/aces.20140810014858


AMA (American Medical Association) Style

Sergei V. Jargin. Invasive procedures with questionable indications and possible placebo effects. Arch Clin Exp Surg. 2015; 4(4): 215-221. doi:10.5455/aces.20140810014858



Vancouver/ICMJE Style

Sergei V. Jargin. Invasive procedures with questionable indications and possible placebo effects. Arch Clin Exp Surg. (2015), [cited January 19, 2018]; 4(4): 215-221. doi:10.5455/aces.20140810014858



Harvard Style

Sergei V. Jargin (2015) Invasive procedures with questionable indications and possible placebo effects. Arch Clin Exp Surg, 4 (4), 215-221. doi:10.5455/aces.20140810014858



Turabian Style

Sergei V. Jargin. 2015. Invasive procedures with questionable indications and possible placebo effects. Archives of Clinical and Experimental Surgery (ACES), 4 (4), 215-221. doi:10.5455/aces.20140810014858



Chicago Style

Sergei V. Jargin. "Invasive procedures with questionable indications and possible placebo effects." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 215-221. doi:10.5455/aces.20140810014858



MLA (The Modern Language Association) Style

Sergei V. Jargin. "Invasive procedures with questionable indications and possible placebo effects." Archives of Clinical and Experimental Surgery (ACES) 4.4 (2015), 215-221. Print. doi:10.5455/aces.20140810014858



APA (American Psychological Association) Style

Sergei V. Jargin (2015) Invasive procedures with questionable indications and possible placebo effects. Archives of Clinical and Experimental Surgery (ACES), 4 (4), 215-221. doi:10.5455/aces.20140810014858





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