Healthy Skepticism Library item: 2104

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Isaacs D, Fitzgerald D.
Seven alternatives to evidence based medicine.
BMJ 1999 Dec 18-25; 319:(7225):1618
http://bmj.bmjjournals.com/cgi/content/full/319/7225/1618

Abstract:

Clinical decisions should, as far as possible, be evidence based. So runs the current clinical dogma. 1 2 We are urged to lump all the relevant randomised controlled trials into one giant meta-analysis and come out with a combined odds ratio for all decisions. Physicians, surgeons, nurses are doing it3-5; soon even the lawyers will be using evidence based practice.6 But what if there is no evidence on which to base a clinical decision?

Keywords:
MeSH Terms: Clinical Competence Decision Making* Evidence-Based Medicine* Humans Wit and Humor