Evidence-based Medicine, Pitfalls and Alternatives

  • Michał Myśliwiec Medical Institute Lomza State University of Applied Sciences, Łomza, Poland; Department of Nephrology and Transplantation Medical University of Białystok, Białystok, Poland


The aims and value of evidence-based medicine (EBM) are reviewed. Pitfalls of EBM and an array of alternatives are presented, from non-scientifically proven healing through medicine based on: preventative care, seeding trials, accelerated approval, surrogates, selection of patients, ghost-writing, marketing, disease mongering, regulations, advertisement, self-defence, hospitalizations, value, extraordinary measures and innovations. Post-progress medicine, e.g. extending the lives of very old people at all costs is critically discussed. A real EBM renaissance which is based on evidence, professional expertise and individual patient’s needs (personalized medicine) is a new promising direction for medical care.

How to Cite
MYŚLIWIEC, Michał. Evidence-based Medicine, Pitfalls and Alternatives. Polish Journal of Applied Sciences, [S.l.], v. 1, n. 4, p. 148-155, june 2017. ISSN 2451-1544. Available at: <https://pjas.ansl.edu.pl/index.php/pjas/article/view/36>. Date accessed: 29 nov. 2022.
Public Health