Yes, the earliest publication of those three is from almost a year ago. Random sample of papers. There exist studies / results / observations with actionable information older than that. (There’s probably something in the references sections of those papers, for instance.)
I of course accept the fact that information takes time to propagate, but the fact remains that I have been to specialist doctors for serious issues which have stated flat out that “nothing is known” – where they literally meant ”nothing is known”, which was completely contradicted by papers. Ten year old papers. Twenty year old papers. Fifty year old papers.
Again and again.
Certainly not all doctors are part of this culture. More than one time I have been present when a doctor who reads academic papers makes a decision based on that information which effectively saved a life.
Nonetheless, this hazard is a very real part of medical practicioner culture.
I certainly wouldn’t want a neurologist to treat last week’s news as gospel either. Absolutely not.
I just don’t know yet how to tell people how big this gulf can be between existing knowledge – established, proven, actionable knowledge – and what a given doctor acknowledges and/or doesn’t flat out deny the existence of.
Maybe this:
Anyone can read academic papers. In biology and medicine. Anyone. Really. And it is the minority of doctors who actually do so. I suggest that people verify doctors’ statements about the complete non-existence of knowledge about any given thing, should they make such statements. Read. Read as if lives were at stake.
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Part of the reason doctors don’t read is that they are often overworked. They really, really are. (It’s not the only reason though.)
And: Of course!, reading science papers online IS NOT a substitute for medical training.
What I suggest people do is this: Help your doctors to help you.
With the utmost humility. As if lives were at stake.