Corroborating evidence-based medicine
2014 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 20, no 6, 915-920 p.Article in journal (Refereed) Published
Proponents of evidence-based medicine (EBM) have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has focused on whether the methodology of randomized controlled trials provides the best evidence available. This paper attempts to shift the focus of the debate by arguing that clinical reasoning involves a patchwork of evidential approaches and that the emphasis on evidence hierarchies of methodology fails to lend credence to the common practice of corroboration in medicine. I argue that the strength of evidence lies in the evidence itself, and not the methodology used to obtain that evidence. Ultimately, when it comes to evaluating the effectiveness of medical interventions, it is the evidence obtained from the methodology rather than the methodology that should establish the strength of the evidence.
Place, publisher, year, edition, pages
John Wiley & Sons, 2014. Vol. 20, no 6, 915-920 p.
corroboration, evidence-based medicine, mechanisms, meta-analysis, quality of evidence, randomized control trials
Public Health, Global Health, Social Medicine and Epidemiology Philosophy
Research subject Philosophy
IdentifiersURN: urn:nbn:se:kth:diva-161233DOI: 10.1111/jep.12129ISI: 000350450200027PubMedID: 24738869ScopusID: 2-s2.0-84923012451OAI: oai:DiVA.org:kth-161233DiVA: diva2:794284
QC 201503112015-03-112015-03-112015-04-07Bibliographically approved