Evidence-based Medicine, Pitfalls and Alternatives
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.
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