Evidence based medicine (EBM) should form the foundation of effective clinical decision making; however, growing unrest—and an awful lot of criticism—suggests the evidence bit of EBM is increasingly part of the problem, and not the solution.
Concerns with quality and rigour in research are leading to a lack of trust in the production, publication, and utilisation of evidence. Des Spence, writing in The BMJ, thinks the situation is so bad that, “Evidence based medicine is broken,” and when an official from the US Food and Drug Administration (FDA) also reports, “The clinical trial system is broken and it’s getting worse,” you have to acknowledge that there might be problems with the evidence base.
And here are a sample of 250 plus retweets from the original BMJ post on the article:
— carl heneghan (@cebmblog) December 6, 2014
— The Mental Elf (@Mental_Elf) December 6, 2014
— Brian S. Alper, MD (@BrianAlperMD) December 6, 2014
— Bob Merberg (@bmerberg) December 5, 2014
— CADTH (@CADTH_ACMTS) December 5, 2014
— Greg Bryson (@glbryson) December 5, 2014