Re: Evidence based medicine is brokenDes Spence cites "poor regulation" as one of the phenomena that compound the profit-driven pollution of Evidence-Based Medicine (EBM).[1]He is not alone.This conception seems to be gaining in popularity.[2,3] Indeed, the current regulation is handmaiden to the polluters, as this partial list of examples indicates:• The regulation does not demand that the research agenda be driven strictly by patient needs, not corporate interests.• It is silent about the adequacy of selection criteria, outcome measures, and statistical significance, three variables that are often used by the polluters to manipulate evidence.
No takes yet. Share an insight, caveat, or question.
Des Spence (2014) studied this question.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: