Florian Naudet

@floriannaudet.bsky.social

Meta-researcher, Clinician, Professor at Rennes University, Senior member at Institut Universitaire de France, affiliate at METRICStanford. ORCID: 0000-0003-3760-3801 Posts are my own. Website: https://restores.univ-rennes.fr/

4. The editorial is IMO another example of wishful thinking in biological psychiatry, providing an outlook of finding moderators to allow precision psychiatry. There are many reasons for being humble here: bsky.app/profile/ploe...

Martin Plöderl@ploederl.bsky.social · 6y ago

1/ About personalized medicine/psychiatry: a new paper by @JonasRueppel, with a meta-view on the issue and insights obtained by interviewing psychiatrists https://journals.sagepub.com/doi/10.1177/0162243919845049 Longer thread with some background info

2. For example, there is a reference to a study on the association (!) bw age and improvement of symptoms with antidepressants. A lot of causal interpretation. However, what is needed is to look at interactions between age and response to drug/placebo. www.sciencedirect.com/science/arti...

The impact of age on antidepressant response: A mega-analysis of individuals with major depressive disorder

Understanding how age affects antidepressant response in patients with major depressive disorder has been complicated by small and heterogeneous studi…

sciencedirect.com

1. We wrote a letter to the editor about this fluoxetine trial for children aged 4-6. Given the urgency and the expected delay in response, we also published it as a preprint, available here: doi.org/10.31234/osf... Which problems did we detect with this study ? 🧵

Chris Aiken, MD@chrisaikenmd.bsky.social · 3w ago

Here's the first trial to test fluoxetine for #depression in children under 6: psych-partners.com/fluoxetine-f... Positive signal, but agitation is a risk, and a single study doesn't change the fact that Parent-Child Interaction #Therapy has the best evidence in this age group. #psychiatry #pmhnp

Nice editorial in @bmj.com: "Influence on regulatory decisions for drugs with limited evidence" by Sahar Barjesteh van Waalwijk van Doorn-Khosrovani and Timothée Olivier "Conflicts of interest and political and emotional pressures are key challenges www.bmj.com/content/393/...

Influence on regulatory decisions for drugs with limited evidence

Conflicts of interest and political and emotional pressures are key challenges Regulatory agencies face growing pressure to approve drugs despite major safety and efficacy concerns. Over decades, th...

bmj.com

"Real world" evidence is uncritically used to replace evidence from RCTs with inconvenient results. Experienced this in guideline panels. This paper seems to be a benchmark article to be used in such situations. Caveats with "real world", sorry, "routinely collected data" are explained in depth 👏👏👏

Florian Naudet@floriannaudet.bsky.social · 2mo ago

Super happy to have contributed to this super important and timely paper, "Using Routinely Collected Data for Research Purposes: Challenges and Mitigation Strategies", led by @sabinehoffmann11.bsky.social and just published in @bmj.com... www.bmj.com/content/393/...

Real world data is used as a term to make it sound like one of the strengths of the study design. It has no. meaningful definition and is used dishonestly to hide the weaknesses. Referees and journals should demand that the term be removed and the actual strengths and weaknesses are described.

Florian Naudet@floriannaudet.bsky.social · 2mo ago

Particularly pleased to see two points that I strongly advocated for included in the paper: 1/ Using the term "routinely collected data" rather than "real-world evidence"...