The scandal of poor medical research.
O artigo de Douglas Altman:
“Precisamos de menos pesquisas, melhores pesquisas e pesquisas feitas pelas razões certas”
Altman DG. The scandal of poor medical research. BMJ. 1994;308(6924):283‐284. doi:10.1136/bmj.308.6924.283.
Críticas à MBE
What kind of evidence is it that Evidence-Based Medicine advocates want health care providers and consumers to pay attention to?
Haynes, R.B. What kind of evidence is it that Evidence-Based Medicine advocates want health care providers and consumers to pay attention to?. BMC Health Serv Res 2, 3 (2002). https://doi.org/10.1186/1472-6963-2-3.
“Uma das coisas mais legais sobre MBE que já vi é que ela MESMA, a medicina baseada em EVIDÊNCIAS, NÃO É baseada em evidências hehe. O próprio Brian Haynes, epidemiologista da McMaster, berço da MBE, reconheceu isso.. Mas tá valendo”
A thread dele: https://twitter.com/Karl_MD/status/1259574415165194245
Lendo o artigo:
The challenges in applying new knowledge, however, are considerable, and EBM does not address them all. Two that EBM tries to address are as follows. First, the advance of knowledge is incremental, with many false steps, and with breakthroughs few and far between, so that only a very tiny fraction of the reports in the medical literature signal new knowledge that is both adequately tested and important enough for practitioners to depend upon and apply. Second, practitioners have limited time and little understanding of research methods.
Evidence-Based Medicine: Toward a New Definition of `Rational’ Medicine
Cronje R, Fullan A. Evidence-based medicine: toward a new definition of `rational’ medicine. Health (London). 2003;7(3):353-369. doi: 10.1177/1363459303007003006.