2017年5月25日 Posted by aihara

EBM has not only called out the problems but offered solutions

JCE誌 (2017; 84)におけるControversy and Debate(April 2017)

●Fava AG. Evidence-based medicine was bound to fail: a report to Alvan Feinstein

●Gordon Gの反論:EBM has not only called out the problems but offered solutions

●Ioannidis JPAのコメント:Hijacked evidence-based medicine: stay the course and throw the pirates overboard

Gordonの反論は、そのまま日本の現状に当てはまる。
診療ガイドライン作成者は、Gordonの主張の意味を理解してほしい。

Individualized care is at the heart of EBM. EBM provides guidance for when to believe subgroup analyses (seldom); when and how one can individualization care through N of 1 RCTs (sometimes); when and how to consider baseline risk in trading off benefits and harms (often); and when and how to consider individual patient values and preferences (always)

About aihara

Gordon GuyattやHolger Schunemann、Yngve Falck-YtterらとともにGRADE working groupメンバーとして、GRADEシステムの適切な普及につとめています。

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