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Toshi Furukawa

@toshi-frkw

Psychiatrist, Cognitive-behavioural therapist, Clinical epidemiologist, who does systematic reviews, runs randomized clinical trials, performs meta-epidemiological studies and develops smartphone apps.

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16.11.2024
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Latest posts by Toshi Furukawa @toshi-frkw

(continued) on the same Mr A, we compare people like Mr A receiving X and another group of people like Mr A not receiving X. So a between-person comparison. There is no conflict whatsoever between the two.

02.03.2026 11:34 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This was a most illogical contrast one could ask. A clinician treats Mr A, and is interested in how they change over time. So a within-person change. But in deciding how to treat Mr A, the clinician must contrast Mr A receiving treatment X and not receiving it. Because we cannot do this (continue)

02.03.2026 11:34 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

It’s just another completely wrong use of the term statistical significant, don’t you think?

25.02.2026 11:06 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Very probably neither the reviewers or editors understood this.

25.02.2026 09:24 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I think they are even worse than that. They showed that sex is a prognostic factor. But they don't understand that prognostic factors essentially have no place in precision psychiatry. Precision psychiatry is about treatment*covariate interactions, i.e. about effect modifiers or HTE.

25.02.2026 09:24 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Bar graphs show smallest worthwhile difference distributions for atherosclerotic cardiovascular disease risk in the US & Japan. Baseline risks are 2%, 10%, & 20%. X-axis: SWD in absolute risk reduction from baseline. Y-axis: percentage of US/Japanese participants.

Bar graphs show smallest worthwhile difference distributions for atherosclerotic cardiovascular disease risk in the US & Japan. Baseline risks are 2%, 10%, & 20%. X-axis: SWD in absolute risk reduction from baseline. Y-axis: percentage of US/Japanese participants.

Most statin-eligible adults in the US and Japan desire greater absolute risk reduction than current statin efficacy provides before initiating therapy for #ASCVD prevention.

ja.ma/4kDy02Y

18.02.2026 15:00 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Editorial titled, "Statins for Primary Preventionβ€”The Gap Between Guidelines and Patient Preferences" by Ilana B. Richman et al. Text discusses when to use statins for preventing atherosclerotic cardiovascular disease (ASCVD).

Editorial titled, "Statins for Primary Preventionβ€”The Gap Between Guidelines and Patient Preferences" by Ilana B. Richman et al. Text discusses when to use statins for preventing atherosclerotic cardiovascular disease (ASCVD).

πŸ’¬ Editorial: Statin guidelines and patient preferences for #ASCVD prevention often misalign, supporting the need for clearer risk communication and shared decision-making in clinical practice.

ja.ma/4rKRFAo

18.02.2026 15:30 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

The editorial concluded: "Findings from the study by Luo et al4 support a call for renewed efforts to engage in shared decision-making with patients when discussing primary prevention of cardiovascular disease. ... understanding and honoring patients’ preferences
will remain essential."

17.02.2026 04:32 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Statins for Primary Prevention When should we consider using statins for primary prevention of atherosclerotic cardiovascular disease (ASCVD)? Statins consistently reduce the relative risk of ASCVD by about 25%, across baseline lev...

The SWD was defined as the smallest reduction in the absolute risk of cardiovascular events at which participants would consider initiating statins given potential adverse events and burden of associated costs
and health care visits. jamanetwork.com/journals/jam...

17.02.2026 04:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Measuring Public Preferences for Statin Therapy Using the Smallest Worthwhile Difference This survey study uses the smallest worthwhile difference to assess US and Japanese individuals’ willingness to take statins based on expected risk-reduction benefits and burden.

Today we published a survey of the SWD (smallest worthwhile difference) of statins, which found that the median SWDs exceeded its actual efficacy across all risk scenarios, suggesting that laypeople demand greater benefits than statins typically provide. jamanetwork.com/journals/jam...

17.02.2026 04:32 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

In the shortest, use SMD, supplemented by CER/EER (control event rate & experimental event rate) for interpretability. mentalhealth.bmj.com/content/27/1...

15.02.2026 12:59 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Ramadan Aid Campaign Launched Ramadan Aid Campaign Launched

itnewsletter.itnewsletter.co.il/sending/webp...

13.02.2026 22:59 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Is this SMD or MD?

06.02.2026 03:14 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Stand up for Peace Education - American Friends of the Parents Circle The Dialogue Meeting in Israeli high schools has been one of the Parents Circle’s main programs for more than 20 years. The program allowed students to meet bereaved Palestinian and Israeli families w...

parentscirclefriends.org/petition/?mc...

30.01.2026 00:02 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Indeed, who with a sane/scientific mind can claim an effect size > 1.0? The readers, and the authors, should think twice.

28.01.2026 01:06 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Perhaps an article of interest from our team: J Clin Epidemiol, 2022 vol. 150 pp. 90-97

Retracted randomized controlled trials were cited and not corrected in systematic reviews and clinical practice guidelines.

www.ncbi.nlm.nih.gov/pubmed/35779...

25.01.2026 11:43 πŸ‘ 9 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0
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Lawsuit fails to block retraction of paper claiming to link heart-related deaths to COVID-19 vaccines Greg J. Marchand in a photo from his research institute’s website. A Taylor & Francis journal has retracted a widely-read paper linking cardiac-related mortality to COVID-19 vaccines afte…

A Taylor & Francis journal has retracted a widely-read paper linking cardiac-related mortality to COVID-19 vaccines after an unsuccessful legal attempt by the lead author to block the withdrawal. That author says he is considering further legal action against the publisher.

21.01.2026 19:05 πŸ‘ 32 πŸ” 15 πŸ’¬ 0 πŸ“Œ 1
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Components of cognitive-behavioral interventions to prevent the onset of depression among the high-risk population: a systematic review and component network meta-analysis Cognitive Behavioral Therapy (CBT) is a promising strategy for preventing onset of depression. This systematic review and component network meta-analy…

Relaxation was found, once again and again, to be harmful.
www.sciencedirect.com/science/arti... as in acute treatment www.thelancet.com/journals/lan..., as in insomnia treatment jamanetwork.com/journals/jam..., as in panic disorder www.cambridge.org/core/journal..., and a few more coming.

20.01.2026 23:25 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Components of cognitive-behavioral interventions to prevent the onset of depression among the high-risk population: a systematic review and component network meta-analysis Cognitive Behavioral Therapy (CBT) is a promising strategy for preventing onset of depression. This systematic review and component network meta-analy…

Component NMA of depression prevention trials find that efficacious interventions can include problem-solving and behavioral activation. www.sciencedirect.com/science/arti...

20.01.2026 23:21 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Congratulations and thank-you, @ploederl.bsky.social. It is unfortunate that we need more of these but it is the sad state of affairs in the current science publications.

20.01.2026 23:17 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Planting Justice | Donate This Tu Bishvat Planting Justice | Donate This Tu Bishvat

itnewsletter.itnewsletter.co.il/sending/webp...

20.01.2026 23:13 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Davos starts today. But it’s been seven years since Rutger Bregman said everything that needed saying… and the rich and powerful are still pretending like they haven’t heard a thing.

19.01.2026 17:22 πŸ‘ 65 πŸ” 39 πŸ’¬ 0 πŸ“Œ 3
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Trials Avoid High Risk Patients and Underestimate Drug Harms Founded in 1920, the NBER is a private, non-profit, non-partisan organization dedicated to conducting economic research and to disseminating research findings among academics, public policy makers, an...

www.nber.org/papers/w34534

12.01.2026 16:31 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Social media can threaten medical experiments Participants of clinical trials can easily communicate online, which poses a big problem for medical researchers.

theconversation.com/social-media...

12.01.2026 16:30 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Last call for abstracts! Present your research at the WCCBT World Congress alongside 25+ keynote presentations. Register now, submit to the Call for Abstracts and be part of the future of #CBT. See you in San Francisco! wccbt2026.org
#WorldCongress26 #SanFrancisco #WCCBT #ABCT

09.01.2026 22:07 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

This is no joke. This is exactly what we might see in 10 years or in 20 years.

06.01.2026 08:10 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Funding Justice for Two Deported American Activists β€’ New Israel Fund In late October, two American activistsβ€”volunteers with an NIF partner organization, Achvat Amimβ€”were detained, deported from Israel, and handed a 10-year entry ban. They had been traveling through…

Funding Justice for Two Deported American Activists
NIF is funding the legal appeal for two American Jewish women who were detained, deported, and banned from the country after working with Palestinian farmers. γ€€www.nif.org/stories/huma...

12.12.2025 01:12 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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I was interrogated by Israeli authorities β€”Β I know why they're terrified of peace activists like me At Israel's Ben Gurion Airport, an American Jewish peace activists faced interrogation β€”Β because nonviolence is seen as a threat.

Facing Down Intimidation in Ben Gurion Airport
Zak Witus, NIF’s Director of Young Leadership and Education, reflects on the experience of being detained in Ben Gurion airport in a piece published in the Forward.γ€€forward.com/opinion/7870...

12.12.2025 01:11 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I am not too sure of that, Ioana. There are two potential problems here. First the questionable validity of the autism diagnosis. No AI can fix that, probably. Two this questionable diagnosis is sloppily applied in the real world. Maybe the ML algorithm can rectify this to a certain degree.

28.11.2025 01:17 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Once you learn the CBT skills with the Resilience Training App, you can remain healthier --- a sign of true resilience and true learning taking place!

19.11.2025 07:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0