The philosophical limits of evidence-based medicine

Academic Medicine

Volumn 73, Issue 12, 1998, Pages 1234-1240

  Tonelli, Mark R ^a,b,c  

^a Division of Pulmonary and Critical Care Medicine   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF WASHINGTON MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL PRACTICE; CLINICAL RESEARCH; EVIDENCE BASED MEDICINE; MEDICAL DECISION MAKING; PATIENT CARE; PHILOSOPHY; PRIORITY JOURNAL; PUBLIC HEALTH;

EID: 0032438318     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001888-199812000-00011     Document Type: Article

References (37)

1. The Evidence-Based Medicine Working Group. Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA. 1992; 268:2420-5.
2. Rosenberg W, Donald A. Evidence-based medicine: an approach to clinical problem-solving. BMJ. 1995; 310:1122-6.
3. Sackett DL, Rosenberg WM. The need for evidence-based medicine. J R Soc Med. 1995; 88:620-4.
4. Rosenberg WM, Sackett DL. On the need for evidence-based medicine. Therapie. 1996; 51:212-7.
5. Stewart LA. The importance of systematic reviews and meta-analyses in the practice of evidence-based medicine. Ann Acad Med Singapore. 1996; 25:483-4.
6. Cook DJ, Sibbald WJ, Vincent JL, Cerra FB. Evidence based critical care medicine; what is it and what can it do for us? Evidence Based Medicine in Critical Care Group. Crit Care Med. 1996; 24:334-7.
7. Cranney M, Walley T. Same information, different decisions: the influence of evidence on the management of hypertension in the elderly. Br J Gen Pract. 1996; 46:661-3.
8. Grahame-Smith D. Evidence based medicine: Socratic dissent. BMJ. 1995; 310:1126-7.
9. Horwitz RI. The dark side of evidence-based medicine. Cleve Clin J Med. 1996; 63:320-3.
10. Maynard A. Evidence-based medicine: an incomplete method for informing treatment choices. Lancet. 1997; 349:126-8.
11. Naylor CD. Grey zones of clinical practice: some limits to evidence-based medicine. Lancet. 1995; 345:840-2.
12. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996; 312:71-2.
13. Tanenbaum SJ. What physicians know. N Engl J Med. 1993; 329:1268-71.
14. Spodich DH. "Evidence-based medicine": terminologic lapse or terminologie arrogance? Am J Cardiol. 1996; 78:608-9.
15. Ellrodt G, Cook D, Lee J, Cho M, Hunt D, Weingarten S. Evidence-based disease management. JAMA. 1997; 278:1687-92.
16. Sackett D, Rosenberg W. On the need for evidence-based medicine. Health Econ. 1995; 4:249-54.
17. Malterud K. The legitimacy of clinical knowledge: toward a medical epistemology embracing the art of medicine. Theor Med. 1995; 16:183-98.
18. Smith R. Where is the wisdom....! The poverty of medical evidence. BMJ. 1991; 303:798-9.
19. Pellegrino ED, Thomasma DC. A Philosophical Basis of Medical Practice: Toward a Philosophy and Ethic of the Healing Professions. New York: Oxford University Press, 1981.
20. Feinstein AR. Clinical judgment revisited: The distraction of quantitative models. Ann Intern Med 1994; 120:799-805.
21. Boyd NF, Sutherland HJ, Heasman KZ, Tritchler DL, Cummings BJ. Whose utilities for decision analysis? Med Decis Making. 1990; 10:58-67.
22. Hunter K. Doctors' Stories. Princeton, NJ: Princeton University Press, 1991.
23. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993; 328:246-52.
24. Eisenberg D. Advising patients who seek alternative medical therapies. Ann Intern Med. 1997; 127:61-9.
25. Asch D, Hershey J. Why some health policies don't make sense at the bed-side. Ann Intern Med. 1995; 122:846-50.
26. Jonsen AR, Siegler M, Winslade WJ. Clinical Ethics. New York: McGraw-Hill, 1992.
27. Alper PR. Learning to accentuate the positive in managed care. N Engl J Med. 1997; 336:508-9.
28. Angell M. Cost containment and the physician. JAMA. 1985; 254:1203-7.
29. Levinsky N. The doctor's master. N Engl J Med. 1984; 325:1666-71.
30. Tanenbaum SJ. Knowing and acting in medical practice: the epistemologic politics of outcomes research. J Health Polit. 1994; 19:27-44.
31. Pellegrino ED. The anatomy of clinical judgments. In: Engelhardt HT, Spicker S, Towers B (eds). Clinical Judgment: A Critical Appraisal. Dordrecht, The Netherlands: D. Reidel, 1979:169-74.
32. Schmidt HG, Norman GR, Boshuizen HP. A cognitive perspective on medical expertise: theory and implication. Acad Med. 1990; 65:611-21.
33. Goldman GM. The tacit dimension of clinical judgment. Yale J Biol Med. 1990; 63:47-61.
34. Sackett DL, Richardson WS, Rosenberg WM, Hynes RB. How to practice and teach evidence-based medicine. New York: Churchill-Livingston, 1997.
35. Feinstein AR. Clinical Judgment. Baltimore, MD: Williams and Wilkins, 1967.
36. McDonald CJ. Medical heuristics: the silent adjudicators of clinical practice. Ann Intern Med. 1996; 124:56-62.
37. Jonsen AR, Toulmin S. The Abuse of Casuistry. Berkeley, CA: University of California Press, 1988.