The Mammography Dilemma

Letters6 May 2003The Mammography DilemmaDonald E. Stanley, MDDonald E. Stanley, MDNobleboro, ME 04555Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-138-9-200305060-00024 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Goodman's review of the mammography controversy (1) is precisely what is required to avoid the self-referential gold standard status of randomized, controlled trials in the new paradigm of evidence-based medicine. Any gold standard must be incorporated into a systematic web of belief about clinical evidence that is not limited to outcomes of randomized, controlled trials but must consider the basic principles of medicine. As Goodman rightly pointed to the failure of the logical positivists to establish an indubitable standard of proof by describing strict conditions of verifiability, so evidence-based medicine will fail unless we all try to ...Reference1. Goodman SN. The mammography dilemma: a crisis for evidence-based medicine? [Editorial]. Ann Intern Med. 2002;137:363-5. [PMID: 12204023] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Donald E. Stanley, MDAffiliations: Nobleboro, ME 04555 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Breast Cancer: Recommendations and RationaleU.S. Preventive Services Task Force*The Mammography Dilemma: A Crisis for Evidence-Based Medicine? Steven N. Goodman The Mammography Dilemma Steven N. Goodman The Mammography Dilemma Alfred O. Berg , Janet Allan , and Steven Woolf Metrics Cited byLimitations of the Randomized Controlled Trial in Evaluating Population-Based Health InterventionsDiffusion of innovation theory for clinical change 6 May 2003Volume 138, Issue 9 Page: 771 Keywords Clinical trials Evidence based medicine Mammography ePublished: 6 May 2003 Issue Published: 6 May 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...