|
| Occasional essay |
Dr. Straus is with the Division of General Internal Medicine, Mount Sinai Hospital, Toronto, Ont., and Dr. McAlister is with the Division of General Internal Medicine, University of Alberta Hospital, and is Population Health Investigator, Alberta Heritage Foundation for Medical Research, Edmonton, Alta.
Abstract
Discussions about evidence-based medicine engender both negative and positive reactions from clinicians and academics. Ways to achieve evidence-based practice are reviewed here and the most common criticisms described. The latter can be classified as "limitations universal to the practice of medicine," "limitations unique to evidence-based medicine" and "misperceptions of evidence-based medicine." Potential solutions to the true limitations of evidence-based medicine are discussed and areas for future work highlighted.
This article has been cited by other articles:
![]() |
K. R. Howe Positivist Dogmas, Rhetoric, and the Education Science Question Educational Researcher, August 1, 2009; 38(6): 428 - 440. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Guzelian, M. Victoroff, C Halmes, and R. James Clear path: towards an evidence-based toxicology (EBT) Human and Experimental Toxicology, February 1, 2009; 28(2-3): 71 - 79. [PDF] |
||||
![]() |
M. J. Tobin Response Chest, January 1, 2009; 135(1): 246 - 246. [Full Text] [PDF] |
||||
![]() |
V. Srihari Evidence-Based Medicine in the Education of Psychiatrists Acad Psychiatry, November 1, 2008; 32(6): 463 - 469. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Agrawal, P. Szatmari, and M. Hanson Teaching Evidence-Based Psychiatry: Integrating and Aligning the Formal and Hidden Curricula Acad Psychiatry, November 1, 2008; 32(6): 470 - 474. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. H Willis Spectrum bias--why clinicians need to be cautious when applying diagnostic test studies Fam. Pract., October 1, 2008; 25(5): 390 - 396. [Abstract] [Full Text] [PDF] |
||||
![]() |
R Phillips and P Glasziou Evidence based practice: the practicalities of keeping abreast of clinical evidence while in training Postgrad. Med. J., September 1, 2008; 84(995): 450 - 453. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. J. Tobin Counterpoint: Evidence-Based Medicine Lacks a Sound Scientific Base Chest, May 1, 2008; 133(5): 1071 - 1074. [Full Text] [PDF] |
||||
![]() |
S. Straus, B. Haynes, P. Glasziou, K. Dickersin, and G. Guyatt Misunderstandings, misperceptions, and mistakes Evid. Based Med., February 1, 2007; 12(1): 2 - 3. [Full Text] [PDF] |
||||
![]() |
S Hoffmann and T Hartung Toward an evidence-based toxicology Human and Experimental Toxicology, September 1, 2006; 25(9): 497 - 513. [Abstract] [PDF] |
||||
![]() |
M Parker False dichotomies: EBM, clinical freedom, and the art of medicine Med. Humanit., June 1, 2005; 31(1): 23 - 30. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. C. H. Cheng and J. E. Martin Raising the Bar: A Primer On Evidence-Based Decision-Making Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2005; 9(1): 1 - 4. [PDF] |
||||
![]() |
J. F. Gilgun The Four Cornerstones of Evidence-Based Practice in Social Work Research on Social Work Practice, January 1, 2005; 15(1): 52 - 61. [Abstract] [PDF] |
||||
![]() |
S. E Straus, M. L Green, D. S Bell, R. Badgett, D. Davis, M. Gerrity, E. Ortiz, T. M Shaneyfelt, C. Whelan, R. Mangrulkar, et al. Evaluating the teaching of evidence based medicine: conceptual framework BMJ, October 30, 2004; 329(7473): 1029 - 1032. [Full Text] [PDF] |
||||
![]() |
G. Norman A conceptual framework may be of limited value BMJ, October 30, 2004; 329(7473): 1032 - 1032. [Full Text] [PDF] |
||||
![]() |
J. F. Gilgun Qualitative Methods and the Development of Clinical Assessment Tools Qual Health Res, September 1, 2004; 14(7): 1008 - 1019. [Abstract] [PDF] |
||||
![]() |
S. E. SUTHERLAND and D. C. MATTHEWS Conducting systematic reviews and creating clinical practice guidelines in dentistry: Lessons learned J Am Dent Assoc, June 1, 2004; 135(6): 747 - 753. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. E Straus What's the E for EBM? BMJ, March 6, 2004; 328(7439): 535 - 536. [Full Text] [PDF] |
||||
![]() |
H. C. Williams Applying Trial Evidence Back to the Patient Arch Dermatol, September 1, 2003; 139(9): 1195 - 1200. [Full Text] [PDF] |
||||
![]() |
A. Schattner and R.H. Fletcher Research evidence and the individual patient QJM, January 1, 2003; 96(1): 1 - 5. [Full Text] [PDF] |
||||
![]() |
L. A Al-Ansary and T. A Khoja The place of evidence-based medicine among primary health care physicians in Riyadh region, Saudi Arabia Fam. Pract., October 1, 2002; 19(5): 537 - 542. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. K. Ghosh, E. S. Huang, and R. S. Stafford Adherence to Evidence-Based Therapy: Some Practical Problems Arch Intern Med, June 10, 2002; 162(11): 1310 - 1311. [Full Text] [PDF] |
||||
![]() |
P. M. Rothwell Why Do Clinicians Sometimes Find it Difficult to Use the Results of Systematic Reviews in Routine Clinical Practice? Eval Health Prof, June 1, 2002; 25(2): 200 - 209. [Abstract] [PDF] |
||||
![]() |
S. E Straus and The Editors Evidence-based medicine in practice Evid. Based Med., May 1, 2002; 7(3): 68 - 69. [Full Text] [PDF] |
||||
![]() |
A. K. Ghosh Lupus nephritis: physicians' preparedness for communication of evidence-based therapy Nephrol. Dial. Transplant., March 1, 2002; 17(3): 525 - 526. [Full Text] [PDF] |
||||
![]() |
A. K. Ghosh and D. K. Ziegler Communications of Adverse Effects of Medications: Physician Challenges and Informatics Readiness Arch Intern Med, October 22, 2001; 161(19): 2387 - 2387. [Full Text] [PDF] |
||||
![]() |
T. The Evidence-Based Radiology Working Group Evidence-based Radiology: A New Approach to the Practice of Radiology Radiology, September 1, 2001; 220(3): 566 - 575. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. M. Leung Evidence-based practice revisited Asia Pac J Public Health, January 1, 2001; 13(2): 116 - 121. [Abstract] [PDF] |
||||