Print

Print
-i agree with the critic but no with one argument:
Too much evidence
The  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 on 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

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/s12913-016-1646-5

Financial Relationships With Industry Among National Comprehensive Cancer Network Guideline Authors
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