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Evidence-based medicine and its methodology, although now widely accepted, is still the subject of considerable critical assessment and debate, and the entries in this subcategory are intended to represent the broad range of critical assessment and appreciation of EBM from a number of perspectives.
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A review of the most common shortcomings of randomized controlled trials (RCTs) as used in evidence-based medicine, with particular focus on publication bias. [2016] [PDF]
An examination and assessment of a decade of critiques of EBM, categorized into five major themes. [2004] [PDF]
A critique of evidence-based medicine, especially its EBM-grading construct, as scientifically unsound. Part of a Point/Counterpoint exchange on EBM from the Chest journal. [2008]
Argues that although evidence based medicine has had many benefits, it has also had some negative unintended consequences; the authors provide some constructive suggestions for addressing these concerns and limitations. [2014]
A follow-up, 15 years hence (2010), of the lanmark audit in 1995, of the extent to which general medical inpatients were managed in an evidence-based manner in a large tertiary teaching hospital,. [2013]
Presents some limitations of EBM, especially the mistaking of statistical significance with clinical significance / relevance. [2013]
Critical review of progress in, and limitations, of evidence-based medcine methodology over the two decades since inception. [2013] [PDF]
Critical review of progress in, and limitations, of evidence-based medcine over the two decades since inception. [2013] [PDF]
Explores the problem of untrustworthy evidence, its sources and impact on quality in evidence-based medicine. [2011]
A plea for a more thoughtful and critical re-examination of evidence-based medicine as it relates to optimal and personalized cancer management. [2013]
From a review of 748 graded recommendations in Australian guidelines, only 18% were found to be based on Level I evidence, suggesting that contemporary medicine appears to remain largely evidence‐poor, not evidence‐based. [2020]
A critical evaluation of the oft-cited criticism of evidence-based medicine as constraining clinical freedom and potentially compromising patient welfare. Published: 03/01/05. [Requires registration.]
An editorial about the seminal article "Evidence‐poor medicine" (Venus & Jamrozik), that disputes the claim that most guideline recommendations are not evidence-based. [2020]
A sustained critique of evidence-based medicine's lack of independence given its high degree of industry-sponsored studies, but also offering some constructive suggestions for potential solutions. [2014]
A defense of evidence-based medicine as an evolving and highly individualized, patient-centered approach to clinical decision making. Part of a Point/Counterpoint exchange on EBM from the Chest journal. [2008]
Argues that EBM is an ad hoc construct and not a valid basis for medical decision-making. [2011] [PDF]
Critical examination of four important ways in which the evidence from randomised trials is limited or partial, that are claimed to undermine the evidence that such trials provide for decision-making. [2015]
Argues that there is insufficient proof that the EBM model can be adapted to fit psychiatry. (April 1, 2008).
The article that initiated the critical controversy surrounding the claim that EBM represents an exclusionary "regime of power". [PDF] (April 01, 2006)
An examination of some strengths and weaknesses of evidence-based medicine as it relates to the practice of anesthesiology. (June 01, 2005)
Argues and discusses the reasons for the limited relevance of systematic reviews to frontline health care workers in developing countries. [2005] (May 31, 2005)
Brief review of five major types of criticisms of EBM. [PDF] (June 30, 2004)
A review of criticisms of EBM as being founded on a lack of clarity and precision by EBM's own proponents. [PDF] (July 21, 2003)
A critique of conventional randomized controlled trials methodology, and an attempt to incorporate more complex interventions via a new 'pragmatic RCT'. (August 01, 2002)
A psychiatrist's critique that over-emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care. (January 01, 2002)
Review of the most commonly leveled charges against, and misperceptions about, evidence-based medicine, with proposed solutions to real limitations. (October 03, 2000)
Argues that EBM is an ad hoc construct and not a valid basis for medical decision-making. [2011] [PDF]
From a review of 748 graded recommendations in Australian guidelines, only 18% were found to be based on Level I evidence, suggesting that contemporary medicine appears to remain largely evidence‐poor, not evidence‐based. [2020]
An editorial about the seminal article "Evidence‐poor medicine" (Venus & Jamrozik), that disputes the claim that most guideline recommendations are not evidence-based. [2020]
Argues that there is insufficient proof that the EBM model can be adapted to fit psychiatry. (April 1, 2008).
An examination and assessment of a decade of critiques of EBM, categorized into five major themes. [2004] [PDF]
Critical review of progress in, and limitations, of evidence-based medcine over the two decades since inception. [2013] [PDF]
Critical review of progress in, and limitations, of evidence-based medcine methodology over the two decades since inception. [2013] [PDF]
Explores the problem of untrustworthy evidence, its sources and impact on quality in evidence-based medicine. [2011]
A review of the most common shortcomings of randomized controlled trials (RCTs) as used in evidence-based medicine, with particular focus on publication bias. [2016] [PDF]
Critical examination of four important ways in which the evidence from randomised trials is limited or partial, that are claimed to undermine the evidence that such trials provide for decision-making. [2015]
A defense of evidence-based medicine as an evolving and highly individualized, patient-centered approach to clinical decision making. Part of a Point/Counterpoint exchange on EBM from the Chest journal. [2008]
A critique of evidence-based medicine, especially its EBM-grading construct, as scientifically unsound. Part of a Point/Counterpoint exchange on EBM from the Chest journal. [2008]
A sustained critique of evidence-based medicine's lack of independence given its high degree of industry-sponsored studies, but also offering some constructive suggestions for potential solutions. [2014]
A critical evaluation of the oft-cited criticism of evidence-based medicine as constraining clinical freedom and potentially compromising patient welfare. Published: 03/01/05. [Requires registration.]
Argues that although evidence based medicine has had many benefits, it has also had some negative unintended consequences; the authors provide some constructive suggestions for addressing these concerns and limitations. [2014]
A follow-up, 15 years hence (2010), of the lanmark audit in 1995, of the extent to which general medical inpatients were managed in an evidence-based manner in a large tertiary teaching hospital,. [2013]
A plea for a more thoughtful and critical re-examination of evidence-based medicine as it relates to optimal and personalized cancer management. [2013]
Presents some limitations of EBM, especially the mistaking of statistical significance with clinical significance / relevance. [2013]
The article that initiated the critical controversy surrounding the claim that EBM represents an exclusionary "regime of power". [PDF] (April 01, 2006)
An examination of some strengths and weaknesses of evidence-based medicine as it relates to the practice of anesthesiology. (June 01, 2005)
Argues and discusses the reasons for the limited relevance of systematic reviews to frontline health care workers in developing countries. [2005] (May 31, 2005)
Brief review of five major types of criticisms of EBM. [PDF] (June 30, 2004)
A review of criticisms of EBM as being founded on a lack of clarity and precision by EBM's own proponents. [PDF] (July 21, 2003)
A critique of conventional randomized controlled trials methodology, and an attempt to incorporate more complex interventions via a new 'pragmatic RCT'. (August 01, 2002)
A psychiatrist's critique that over-emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care. (January 01, 2002)
Review of the most commonly leveled charges against, and misperceptions about, evidence-based medicine, with proposed solutions to real limitations. (October 03, 2000)
Last update:
September 18, 2020 at 17:11:18 UTC
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