An excellent article published on 13 June 2014 in the BMJ recounts a brief history of evidence-based medicine and asks whether 20 years on the movement is “in crisis.” While the focus on quality evidence has had remarkable successes, the authors suggest that the trappings of the movement have been co-opted by drug companies and other vested interests that don’t prioritize good science and patients’ needs.
To restore the soul of evidence-based medicine, the authors suggest that it’s important to return the patient to the center of practice: evidence is essential, but it’s only useful when it helps patients make good decisions, and produces better outcomes for patients. Their list of “What is real evidence-based medicine, and how do we achieve it” is a roadmap to bring us much closer to the right care. Some excellent rapid responses complement very well this thought-provoking article.
Greenhalgh Trisha, Howick Jeremy, Maskrey Neal. Evidence based medicine: a movement in crisis? BMJ 2014; 348:g3725
Read the BMJ article here: http://www.bmj.com/content/348/bmj.g3725