geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Taking stock of evidence-based medicine: opportunities for its continuing evolution


, : Taking stock of evidence-based medicine: opportunities for its continuing evolution. Journal of Evaluation in Clinical Practice 12(4): 399-404

Tough but constructive criticisms of evidence-based medicine (EBM) have without doubt informed the evolution and serial reconstitutions of this approach to clinical decision making and behaviour. Yet, concerns about EBM persist and as EBM changes in response to reflection and criticism, so too do the criticisms themselves. This paper describes our current understanding of EBM and, to identify opportunities for the continuing evolution of EBM, discusses some key attributes of EBM that still or now cause us concern. Specifically, these attributes are the nature of evidence in EBM; the unknown effectiveness of EBM; the clinician-centric focus of EBM; and the potential of EBM to harm patients.

US$19.90

PMID: 16907680

DOI: 10.1111/j.1365-2753.2006.00617.x


Other references

Tui, Y.; Wen, L.; Ji, F., 1987: Structure model for agricultural production. A regional level agricultural production planning model is described based on linear programming techniques. The objective function maximizes the total per caput value added of different production activities: crops, livestock, forestry and aquacu...

Christiansen, S.P.; Harrali, R.L.I.; Brown, H., 1995: Evaluation of extraocular muscle morphometric changes following combined horizontal rectus recession-resection in rabbits. Investigative Ophthalmology & Visual Science 36(4): S956

Roger H.M.tchell; J.B.rry Dawson, 2012: Carbonate-silicate immiscibility and extremely peralkaline silicate glasses from nasira cone and recent eruptions at Oldoinyo Lengai volcano, Tanzania. Phenocrysts of garnet, pyroxene and nepheline in peralkaline nephelinite from the Nasira parasitic cones at Oldoinyo Lengai contain quenched immiscible silicate (peralkalinity = 2 13) and Na-Ca-carbonate melts. Their bulk compositions further defi...

Genkel', P.A.; Bakanova, L.V.; Samygin, G.A., 1965: The freezing of cold-sensitive plants. Detached leaves of Begonia metallica kept at 2 degrees C. for 5 to 8 days were injured and even partially killed. Exposure of detached leaves to temperatures of -5 degrees or -10 degrees C. for 1 or 2 minutes did not cause any injury. Longer expos...

Li, H-Chun.; Lo, S-Yen., 2015: Hepatitis C virus: Virology, diagnosis and treatment. More than twenty years of study has provided a better understanding of hepatitis C virus (HCV) life cycle, including the general properties of viral RNA and proteins. This effort facilitates the development of sensitive diagnostic tools and effect...

Randall, T., C.; Wearn, A., M., 2005: Receiving bad news: patients with haematological cancer reflect upon their experience. The literature on breaking bad news (BBN) tends to focus on professional consensus rather than empirical patient evidence - the 'giver' rather than the 'receiver'. Using semistructured interviews, this study explores the experi...

Blanton, R.L., 1993: Prestalk cells in monolayer cultures exhibit two distinct modes of cellulose synthesis during stalk cell differentiation in Dictyostelium. Stalk formation in Dictyostelium discoideum involves the synthesis of a stalk tube by the prestalk cell population and stalk cell walls by the individual prestalk cells. Cellulose is a major structural component of the stalk tube and stalk cell wa...

Helley, M.P.; Abate, W.; Jackson, S.K.; Bennett, J.H.; Thompson, S.W.N., 2016: The expression of Toll-like receptor 4, 7 and co-receptors in neurochemical sub-populations of rat trigeminal ganglion sensory neurons. The recent discovery that mammalian nociceptors express Toll-like receptors (TLRs) has raised the possibility that these cells directly detect and respond to pathogens with implications for either direct nociceptor activation or sensitization. A r...

Thornton, T.; Straub, C.; Leahy, J.; Peckenham, J.; Wilson, L.; Jemison, J.; MacRae, J., 2009: Community based research alternatives for water quality monitoring in the Northeast. What are the roles for communities in monitoring water quality? Within the scope of the "hard" sciences, Community Based Research (CBR) has primarily been a community workers model where researchers use the populace as a means of volunte...

Goudail, F.; Réfrégier, P., 2007: Statistical techniques for target detection in polarization diversity images. We address the problem of target detection in active polarimetric images. This technique, which has the appealing feature of revealing contrasts that do not appear in conventional intensity images, provides several images of the same scene. Howeve...