Evidence-based medicine can’t be…

La Caze, Adam (2008) Evidence-based medicine can’t be…. Social Epistemology, 22 4: 353-370. doi:10.1080/02691720802559438

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Author La Caze, Adam
Title Evidence-based medicine can’t be…
Journal name Social Epistemology   Check publisher's open access policy
ISSN 1464-5297
Publication date 2008-10
Sub-type Article (original research)
DOI 10.1080/02691720802559438
Volume 22
Issue 4
Start page 353
End page 370
Total pages 18
Place of publication London, U.K.
Publisher Routledge
Language eng
Subject 1702 Cognitive Sciences
2203 Philosophy
Abstract Evidence-based medicine (EBM) puts forward a hierarchy of evidence for informing therapeutic decisions. An unambiguous interpretation of how to apply EBM's hierarchy has not been provided in the clinical literature. However, as much as an interpretation is provided proponents suggest a categorical interpretation. The categorical interpretation holds that all the results of randomised trials always trump evidence from lower down the hierarchy when it comes to informing therapeutic decisions. Most of the critical replies to EBM react to this interpretation. While proponents of EBM can avoid some of the problems raised by critics by suitably limited the claims made on behalf of the hierarchy, further problems arise. If EBM is to inform therapeutic decisions then a considerably more restricted, and context dependent interpretation of EBM's hierarchy is needed.
Keyword Evidence-based medicine (EBM)
Frequentist statistics
Randomised controlled trials
Therapeutic decision making
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
ERA 2012 Admin Only
School of Pharmacy Publications
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Citation counts: Scopus Citation Count Cited 9 times in Scopus Article | Citations
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Created: Tue, 06 Apr 2010, 15:05:15 EST by Ms May Balasaize on behalf of Faculty Of Health Sciences