01 November 2006
Evidence-based medicine: fifteen years later. Golem the good, the bad, and the ugly in need of a review?Milos Jenicek
Med Sci Monit 2006; 12(11): RA241-251 :: ID: 462718
Despite its well-deserved strengths, Evidence-Based Medicine (EBM)'s shell still remains half-full. Its strong points are clouded in persisting philosophical gaps and mostly ideological advancements of its concepts and rules. Further clarification of its logic and critical use of evidence is required. In this non-systematic essay and review, several present and future necessary achievements are outlined: Solid methodological tools were developed under the umbrella of surprisingly less-operational definition(s) of EBM and 'evidence' itself, incomplete classifications of various evidences and limited scope of original critical appraisal of evidence. The integration of the best evidence with clinical expertise, setting and circumstances, as well as patient expectations, values, and preferences and the application of evidence to a specific patient have only been conceptually traced so far and usable rules remain in waiting. The question of whether the practice of EBM produces better results than its alternatives also remains unanswered. Uses of the best evidence as a basis for the fundamental elements of modern argumentation and critical thinking applied to medicine may be one of the promising paths, but this approach still must be more widely applied and evaluated on its own merit. In other words, we do have a point, but it needs to be improved.
Keywords: Decision Making, Clinical Medicine, Decision Support Systems, Clinical, Evidence-Based Medicine - methods, Health Services Needs and Demand, Logic, Philosophy, Medical, Practice Guidelines as Topic, Professional Practice - standards
01 November 2021 : EditorialEditorial: What Can be Learned from National and International Vaccine Adverse Event Reporting Systems During the COVID-19 Pandemic?
Med Sci Monit 2022; 28:e935299
26 November 2021 : EditorialEditorial: SARS-CoV-2 Vaccine Responses and Breakthrough COVID-19
Med Sci Monit In Press; DOI: 10.12659/MSM.935624
08 November 2021 : Database AnalysisVirtual Screening and Molecular Docking to Study the Mechanism of Chinese Medicines in the Treatment of Cor...
Med Sci Monit In Press; DOI: 10.12659/MSM.934102
01 November 2021 : EditorialEditorial: What Can be Learned from National and International Vaccine Adverse Event Reporting Systems Duri...
Med Sci Monit 2022; 28:e935299
29 Nov 2021 : Database AnalysisIntegrated Analysis of Angiogenesis-Mediated Tumor Immune Microenvironment Pattern in Hepatocellular Carcin...
Med Sci Monit In Press; DOI: 10.12659/MSM.934937
26 Nov 2021 : Clinical ResearchSerum Uric Acid Levels in Relation to Atrial Fibrillation: A Case-Control Study
Med Sci Monit In Press; DOI: 10.12659/MSM.934007
26 Nov 2021 : Database AnalysisNetwork Pharmacology Integrated Molecular Docking Revealed the Mechanism of Jianpi Yiqi Taohua Decoction Ag...
Med Sci Monit In Press; DOI: 10.12659/MSM.933537
Most Viewed Current Articles
20 Mar 2020 : Clinical ResearchSocial Capital and Sleep Quality in Individuals Who Self-Isolated for 14 Days During the Coronavirus Diseas...
Med Sci Monit 2020; 26:e923921
15 Apr 2020 : Clinical ResearchPsychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 20...
Med Sci Monit 2020; 26:e924171
05 May 2020 : Review articleAn Evidence Based Perspective on mRNA-SARS-CoV-2 Vaccine Development
Med Sci Monit 2020; 26:e924700