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- Published on: 13 May 2016
- Published on: 13 May 2016
- Published on: 13 May 2016
- Published on: 13 May 2016
- Published on: 13 May 2016
- Published on: 13 May 2016
- Published on: 13 May 2016
- Published on: 13 May 2016
- Published on: 13 May 2016Re: Authors' replyShow More
Dear Editor
Cook and Sheikh have accepted the fundamental error in their paper pointed out by Annan.[1-3]
When the arithmetic error is corrected there are only two conclusions that can be reached. One, pointed out by Annan,[2] is that for every helmet worn, two people are saved. This is clearly untenable and so the only other conclusion, also pointed out by Annan,[2] is that there are other factors invo...
Conflict of Interest:
None declared. - Published on: 13 May 2016Authors' second replyShow More
Dear Editor
Franklin and Robinson are correct to question the complexity of the evidence on helmet wearing among children.[1] As a brief report our paper was unable to explore this in detail but we are grateful for the opportunity to do so here. The helmet wearing surveys suggested that helmet wearing fell among children between 1994 and 1996.[2] Analysing accident data for the years 1995/96 alone shows a corresp...
Conflict of Interest:
None declared. - Published on: 13 May 2016Another serious error in Cook & Sheikh's analysisShow More
Dear Editor
There is another serious problem with Cook and Sheikh's paper.[1] The authors cite a TRL report [2] stating that, on major roads, helmet wearing (%HW) increased from 16.0%, in 1994, to 17.6% in 1996 then 21.8% in 1999. The TRL report continues: "this was due to an increase among adult cyclists wearing helmets: there was no change amongst child cyclists."[2]
In fact, Table 3 shows %HW o...
Conflict of Interest:
None declared. - Published on: 13 May 2016Authors' replyDear EditorShow More
We are grateful to Annan for spotting the arithmetic error in the discussion section of our paper of trends in cyclist head injuries.[1] It would be a mistake, however, to allow a minor mistake in the discussion to divert attention from the main finding of the paper, which was that cyclist head injuries fell during a time of increased helmet wearing. Population level time trend studies are limited in the am...
Conflict of Interest:
None declared. - Published on: 13 May 2016Cycle helmets: time for a reality checkShow More
Dear Editor
To focus on injury mitigation in cyclists to the exclusion of addressing the causes of crashes, as is the trend in public debate at present,[1] risks fundamental errors - not least the post hoc fallacy of assuming that cycling head injuries are the result of failure to wear helmets, rather than of the types of crashes cyclists experience.
As a result of this obsession we have arrived at the ab...
Conflict of Interest:
None declared. - Published on: 13 May 2016IP is lacking objectivityShow More
Dear Editor
IP is gaining a reputation in the cycling community as a journal lacking in objectivity when it concerns the effectiveness of bicycle helmets. Its past zealous defence of flaws found in helmet research that IP has published gives cause for concern.
Its latest silence over the identification of a serious calculation error (Annan [1]) raises serious ethical questions as well as doubts about...
Conflict of Interest:
None declared. - Published on: 13 May 2016Fundamental error in "Trends in serious head injuries..." Cook and Sheikh 2003Show More
Dear Editor
The main conclusion of Cook and Sheikh,[1] that a bicycle helmet prevents 60% of head injuries, is incorrect due to a fundamental error in the way they have treated their percentages. A correct analysis demonstrates unequivocally that there must be major confounding factors in their data set that they have failed to take into account, and therefore any estimate of helmet effectiveness is purely speculat...
Conflict of Interest:
None declared. - Published on: 13 May 2016Policy must be evidence-based to succeedShow More
Dear Editor
“Policy must be evidence-based to succeed.”
It is reported [1] that as the rate of helmet use by English cyclists increased by six percentage points from 16% to 22%, the proportion of hospital cases with serious head injuries declined slightly more for cyclists than pedestrians. This is advanced as evidence that cycle helmets prevent 60% of serious head injuries.
The effectiveness of c...
Conflict of Interest:
None declared.