Intended for healthcare professionals

Rapid response to:

Analysis Essay

Evidence based medicine: a movement in crisis?

BMJ 2014; 348 doi: (Published 13 June 2014) Cite this as: BMJ 2014;348:g3725

Rapid Response:

Dear Editor,

I am still reading with great interest the analysis about evidence based medicine published by Trisha and colleagues, as well as the large number of responses to this article (44 and counting).

I would like to share some data (i.e., evidence) about evidence based medicine and clinical practice guidelines (Figures 1 and 2).

The numbers speak for themselves: evidence based medicine is broken and in crisis.

Raw data, interactive figures, and PubMed search terms are publicly available:
- Google drive spreadsheet:
- Figshare.(1)

Finally, I would like to congratulate the authors for their excellent analysis of evidence based medicine.


I would like to acknowledge the following persons for providing valuable concepts in data visualization and infographics:
- Maria Fernanda Ramírez. Professor of graphic design. Universidad del Valle. Cali, Colombia.
- Lorena Franco. Graphic design student. Universidad del Valle. Cali, Colombia.

Competing interests

I have no competing interests related to this letter.


1. Ramirez JH. Data (i.e., evidence) about evidence based medicine.

Competing interests: No competing interests

04 July 2014
Jorge H Ramirez
Professor of Pharmacology
Faculty of Health, Department of Physiological Sciences, Universidad del Valle
Cl 4B 36-00. Cali, Colombia,