n South African Medical Journal - Evidence-based medicine - are we boiling the frog? : forum - clinical practice
|Article Title||Evidence-based medicine - are we boiling the frog? : forum - clinical practice|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 University of KwaZulu-Natal and 2 Inkosi Albert Luthuli Central Hospital|
|Publication Date||Jul 2013|
|Pages||447 - 448|
Evidence-based medicine has been defined as 'The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.' There are two major assumptions in this statement. First, it is assumed that the evidence is in fact the best. Unfortunately this is not necessarily so, and published evidence is affected by bias, sponsorship, and blind faith in mathematical probability which may not be clinically relevant. Second, the evidence is population based and may not be applicable to the individual, and blind adherence to this concept may cause harm. We must not abandon clinical experience and judgement in favour of a series of inanimate data points. Medicine is an uncertain science.
Article metrics loading...