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Views & Reviews From the Frontline

Evidence based medicine is broken

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g22 (Published 03 January 2014) Cite this as: BMJ 2014;348:g22

Rapid Response:

Re: Evidence based medicine is broken

Dear editor,

The following paragraph quoted from the article entitled: “Phytomedicines: Back to the Future” describes with a 98.7% of accuracy the current state of evidence favoring the use of a large number of active pharmacological principles in humans:

“Major challenge that must be overcome before herbs can join mainstream medicine is the quality of the literature in the field. Books, pamphlets, journals, and especially these days the Internet are filled with misinformation, much of it written to sell product, some of it written to express a point of view based on hope, not fact, or on misinformation”

In the above paragraph (300 characters) the only correction (5 characters) is to change the word “herbs” to “drugs”.

Competing interests: I do not agree with a significant number of recommendations described in several Clinical Practice Guidelines (published in Colombia as well as many other countries around the world).

17 June 2014
Jorge H Ramírez
Professor of Pharmacology
Universidad del Valle
Cl 4B No. 36-00