gforge
Joined 9 years ago
Joined 9 years ago
The pipe came to R a few years back and I would argue that it is one of the best features. I admit that data munging is a very stepwise process but I find myself frequently missing it in Ts when I code. It makes the code denser as you use fewer intermediate variables while the code id still easy to debug.
Orthopedics is also somewhat of an odd medical specialty with lots of incentive issues and a scarcity of good clinical trials. In a study from Sydney they found that among the 50% of the surgeries that had been evaluated with randomized clinical trials (RCT), only in 50% of the cases the trials actually supported the surgery. It is though much more difficult to randomize people to surgery, doing the blue or red pill is much easier.
I'm pretty sure also that a big part of the problem is us doctors failing to identify if a patient is part of the long tail or not, i.e. does he/she not fall into a particular study's inclusion criteria or not? Hopefully we will be able to shortcut this problem with deep learning tools but as most self-driving-car enthusiast know - there is a big difference driving around in the parking lot from the open streets.
I remember a colegue that was presenting results during their defense of a thesis where one risk ratio 0,45 and the other 2,1. I asked which effect was biggest and they automatically replied 2,1. I'm pretty sure that 80%+ of my colegues would make the same mistake. Everyone understands double/half - we should try to teach people this as the word log is just too intimidating for so many.
Debugging is an issue though. I commonly find myself splitting up the pipes into section in order to inspect the results and find exceptions. Breakpoints and stepping through code is probably the features I most often struggle with.
The interesting thing is that it hasn't really caught on. We don't have any financial pressure or other external factors, it is really convenient, yet I'm pretty sure that only 10-20% of the doctors use it.
In the operating theater I don't really see it happening. We've been discussing using glue there but then you need an additional layer of sutures which usually take longer to do (intracutaneous). Anything that takes time in the threatre is usually a deal breaker.
There are probably use cases outside my field but even for burns I'm uncertain if it is a good fit. Most wounds are not sterile and encapsulating bacteria under a layer of fiber seems like a recipe for pushing the bacteria deeper and generating a more severe infection.