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-i agree with the critic but no with one argument: *Too much evidenceThe second aspect of evidence based medicine’s crisis (and yet, ironically, also a measure of its success) is the sheer volume of evidence available. In particular*, *the number of clinical guidelines is now both unmanageable and unfathomable. * -the problem is not of quantity but of quality -we have too much clinical guidelines of very low quality, without evidence -most clinical guidelines are just garbage -mos clinical guidelines are no EBM but "Eminence"BM, because industrial interest -for example Royal College of Obstetricians and Gynaecologists guidelines: How evidence-based are they? http://www.tandfonline.com/doi/abs/10.3109/01443615.2014.920794 Eminence-based guidelines: a quality assessment of the second Joint British Societies’ guidelines on the prevention of cardiovascular disease, http://onlinelibrary.wiley.com/doi/10.1111/j*.1742-1241.2007.01310.x/full* Diabetes. No significant impact of tight glycemic control o*n the risk of dialysis/transplantation/renal death, blindness, or neuropathy. But 95% of guidelines unequivocally endorsed benefit.* *http://circoutcomes.ahajournals.org/content/early/2016/08/23/CIRCOUTCOMES.116.002901.full.pdf?ijkey=hnQfo3zmmZFECR8&keytype=ref <http://circoutcomes.ahajournals.org/content/early/2016/08/23/CIRCOUTCOMES.116.002901.full.pdf?ijkey=hnQfo3zmmZFECR8&keytype=ref>* Reporting of financial conflicts of interest in clinical practice guidelines: a case study analysis of guidelines from the Canadian Medical Association Infobase http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-01 *6-1646-5* *Financial Relationships With Industry Among National Comprehensive Cancer Network Guideline Authors* *http://oncology.jamanetwork.com/article.aspx?articleid=2546172 <http://oncology.jamanetwork.com/article.aspx?articleid=2546172>* *-un saludo juan gérvas @JuanGrvas* 2016-08-26 6:54 GMT+02:00 Dr. Yasser Sami Amer < [log in to unmask]>: > Interesting article:http://dx.doi.org/10.1136/bmj.g3725 (via @Mendeley_com) > > > @Luiza > > > Dear Luisa, > > Greetings > > > Did you read this paper > > EBM a movement in crisis? BMJ 2014 > > It discusses the same argument you have kindly raised here! > > > Regards, > > Yasser Amer > > King Saud University > > > Sent from Yahoo Mail on Android > <https://overview.mail.yahoo.com/mobile/?.src=Android> >