Letters Evidence based medicine is broken

For a truly humanistic ethic, we need truly humanistic medicine

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1133 (Published 29 January 2014) Cite this as: BMJ 2014;348:g1133
  1. Miran Epstein, reader in medical ethics1
  1. 1Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK
  1. m.epstein{at}qmul.ac.uk

The conception that “poor regulation” compounds the profit driven pollution of evidence based medicine (EBM) is gaining popularity.1 2 3 Indeed, current regulation is handmaiden to the “polluters,” as these examples indicate:

  • • It allows medical parties to have financial conflicts of interest

  • • It goes easy on the adequacy of selection criteria, outcome measures, statistical significance, and other variables often used to manipulate evidence …

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