Health

An examination of some strengths and weaknesses of evidence-based medicine as it relates to the practice of anesthesiology.

Critical review of progress in, and limitations, of evidence-based medcine methodology over the two decades since inception. [2013]

Critical review of progress in, and limitations, of evidence-based medcine over the two decades since inception. [2013]

Presents some limitations of EBM, especially the mistaking of statistical significance with clinical significance / relevance. [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]

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]

Explores the problem of untrustworthy evidence, its sources and impact on quality in evidence-based medicine. [2011]

Brief review of five major types of criticisms of EBM.

An examination and assessment of a decade of critiques of EBM, categorized into five major themes. [2004]

Argues that there is insufficient proof that the EBM model can be adapted to fit psychiatry. (April 1, 2008).

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 EBM is an ad hoc construct and not a valid basis for medical decision-making. [2011]

The article that initiated the critical controversy surrounding the claim that EBM represents an exclusionary "regime of power".

Review of the most commonly leveled charges against, and misperceptions about, evidence-based medicine, with proposed solutions to real limitations.

A psychiatrist's critique that over-emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care.

A critique of conventional randomized controlled trials methodology, and an attempt to incorporate more complex interventions via a new 'pragmatic RCT'.

Argues and discusses the reasons for the limited relevance of systematic reviews to frontline health care workers in developing countries. [2005]

A review of criticisms of EBM as being founded on a lack of clarity and precision by EBM's own proponents.

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.]

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 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]

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 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]

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]