Evidence based medicine: a movement in crisis?
- PMID: 24927763
- PMCID: PMC4056639
- DOI: 10.1136/bmj.g3725
Evidence based medicine: a movement in crisis?
Abstract
Trisha Greenhalgh and colleagues argue that, although evidence based medicine has had many benefits, it has also had some negative unintended consequences. They offer a preliminary agenda for the movement’s renaissance, refocusing on providing useable evidence that can be combined with context and professional expertise so that individual patients get optimal treatment
Conflict of interest statement
Competing interests: All authors have read and understood BMJ policy on declaration of interests and declare the following interests: NM and MK have senior roles in the National Institute for Health and Care Excellence; RM is employed by, and TG and JH’s salaries are part funded by, the National Institute for Health Research; MB is director of the UK Cochrane Centre. JB is a director and shareholder in the TRIP database, which offers a rapid search service. RL is a founder member, and TG a member, of the AllTrials campaign. IH is chairing the scientific committee for the preventing overdiagnosis conference in September 2014, and PG and HL have also been active in the preventing overdiagnosis campaign. RL is currently a consultant to the Yale Open Data Access project, which receives funding from Johnson and Johnson to develop methods to promote clinical trial data sharing; the project has also received funding from Medtronic.
Comment in
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Evidence based medicine needs to be more pragmatic.BMJ. 2014 Jul 9;349:g4453. doi: 10.1136/bmj.g4453. BMJ. 2014. PMID: 25007968 No abstract available.
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Evidence based medicine: looking forward and building on what we have learnt.BMJ. 2014 Jul 9;349:g4508. doi: 10.1136/bmj.g4508. BMJ. 2014. PMID: 25008476 No abstract available.
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Renaissance or reformation for evidence based medicine?BMJ. 2014 Jul 30;349:g4902. doi: 10.1136/bmj.g4902. BMJ. 2014. PMID: 25078722 No abstract available.
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Connect the Dots..Obstet Gynecol. 2015 Dec;126(6):1305. doi: 10.1097/AOG.0000000000001167. Obstet Gynecol. 2015. PMID: 26551192 No abstract available.
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The eighth alternative to evidence based medicine in the early era of the COVID-19 pandemic: Too much emergency and emotion, too little evidence.Eur J Intern Med. 2020 Jul;77:163-164. doi: 10.1016/j.ejim.2020.05.040. Epub 2020 May 28. Eur J Intern Med. 2020. PMID: 32532663 Free PMC article. No abstract available.
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