Tag: evidence-based medicine

The Good, The Bad, and The Ugly

How to design high quality acupuncture trials: The Good, The Bad, and The Ugly

Acupuncture advocates have published guidelines for "rigorous" acupuncture randomized controlled trials. While that sounds good on the surface, the devil is in the details, which reveal that the dedication to scientific rigor is perhaps not so strong.

/ April 11, 2022
Ivermectin

Science-based medicine isn’t just for CAM. The case of ivermectin shows that it never was.

Another large randomized controlled trial for ivermectin showed no efficacy for the early treatment of COVID-19. This is not a surprise to science-based medicine advocates. Here's why the story of ivermectin shows that SBM isn't just for "complementary and alternative medicine" (CAM) —and never was.

/ April 4, 2022
Acupuncture needles

UK Recommendations Wrong on Acupuncture

NICE draft recommendations on acupuncture don't even make sense from an EBM perspective, and utterly fail to consider SBM principles.

/ August 5, 2020

Should Evidence-Based Medicine Be Replaced by Interpersonal Medicine?

An opinion piece in the New England Journal of Medicine complains about the limitations of evidence-based medicine (EBM) and recommends a new approach they call "interpersonal medicine." In my opinion, good clinical medicine is already interpersonal medicine; there is no need for something new.

/ November 27, 2018

Responding to SBM Critics

A response to a critic of SBM, and setting the record straight on our actual positions regarding evidence and the practice of medicine.

/ April 19, 2017

Deconstructing Homeopathy Propaganda

The definition of “propaganda,” like so many things, is a bit fuzzy. The dictionary definition is: “information, especially of a biased or misleading nature, used to promote or publicize a particular political cause or point of view.” There is no sharp demarcation line, however. Speech occurs on a spectrum from obsessively objective, fair, balanced, and scholarly at one end, to deliberately deceptive...

/ August 17, 2016

The hijacking of evidence-based medicine

A hero of the blog, John Ioannidis, worries that evidence-based medicine has been hijacked, and when Ioannidis says something we at SBM listen. But has EBM been "hijacked"?

/ March 21, 2016

Guess who pioneered chemoprevention through diet?

This is an expansion of a post I did over on the Society for Science-Based Medicine blog about this time last year. The original post, which got far more traffic than is usual for the SFSBM, is a good example of how science works and the good that it can do. The hard work of real science illustrated here serves as a...

/ December 24, 2015

American Academy of Family Physicians Home Study Course Recommends Non-Science-Based Treatments

Since passing my board exams in family practice in 1979 I have relied heavily on the American Academy of Family Physicians for continuing medical education via the American Family Physician and the AAFP home study programs. The AAFP prides itself on its evidence-based approach to medicine. In general, it delivers. But the recent FP Essentials Number 432 on “Chronic Pain Management” fell...

/ November 24, 2015

On “integrative medicine” and walking and chewing gum at the same time

Evidence matters. Science matters. However, when advocates of "integrating" quackery into medicine via the vehicle of "integrative medicine" invoke weak science and poor quality evidence in conventional medicine in response to criticism, what they are really doing is deflecting attention away from their quackery. More importantly, advocates of science-based medicine are capable of walking and chewing gum at the same time. We...

/ November 16, 2015