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Archie Cochrane

Archibald Cochrane
Born Archibald Leman Cochrane
(1909-01-12)12 January 1909
Galashiels, Scotland
Died 18 June 1988(1988-06-18) (aged 79)
Nationality Scottish
Occupation Physician

Archibald Leman Cochrane (12 January 1909 – 18 June 1988) was a Scottish doctor noted for his book Effectiveness and Efficiency: Random Reflections on Health Services. This book advocated for the use of randomized control trials to make medicine more effective and efficient. His advocacy of randomized controlled trials eventually led to the development of the Cochrane Library database of systematic reviews, the establishment of the UK Cochrane Centre in Oxford and the international Cochrane Collaboration.

Cochrane was born in Kirklands, Galashiels, Scotland, into a family he described as "industrial upper middle class". His father was killed whilst serving with the King's Own Scottish Borderers during World War I. He won a scholarship to Uppingham School, and obtained another scholarship to King's College, Cambridge, achieving first class honours in Parts I and II of the Natural Sciences Tripos and completing 2nd MB studies in physiology and anatomy in 1930. He qualified in 1938 at University College Hospital, London, at University College London.

Cochrane was born with porphyria. This caused health problems throughout his life. He tried treatment using psychoanalysis under Theodor Reik, following Reik to Berlin, then Vienna and the Hague as the influence of the Nazis increased, combining his treatment with undertaking medical studies in Vienna and Leiden. He became dissatisfied with psychoanalysis. However, he became fluent in German which was useful later on in life. His travels also convinced him of the importance of the anti-fascist cause.


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