Tag: science based medicine
2023: The year that the evidence-based medicine (EBM) paradigm was weaponized against vaccines and public health
Evidence-based medicine (EBM) has been a very useful paradigm for assessing evidence in medicine. However, like any other framework, it can be misused, particularly when fundamentalist EBM methodolatry leads to its inappropriate application to questions for which it is ill-suited, a misuse that has been weaponized against public health during the pandemic.
It Will Take More Than “Courage” to Restore Public Trust in Medicine
Judah Kreinbrook, a first year medical student, responds to a post on Sensible Medicine by a medical student that exaggerated the risk of myocarditis from COVID-19 vaccines while expressing anger at how trust in medicine has been undermined. Having been raised by a family steeped in antivaccine views, Kreinbrook invokes his journey to SBM to gently correct his fellow medical student and...
15 Years of SBM
A look back at a decade and a half of SBM.
Aromatase inhibitors and acupuncture in breast cancer: Spinning a negative study, four years later
Four years ago, I wrote about an essentially negative study looking at whether acupuncture could alleviate joint pain caused by aromatase inhibitors, a common treatment for estrogen-sensitive breast cancer. The study's back, and it doesn't look any more positive.
But Is It Real?
Why we need more science in medicine.
Legislative alchemy and abortion: How the fall of Roe v. Wade will degrade science-based medicine
The U.S. Supreme Court overturned Roe v. Wade on Friday, eliminating the federal right to an abortion. What does that mean for science-based reproductive health and science-based medicine in general? Hint: It's not good, even for areas of medicine outside of reproductive health.
Medical debt vs. universal health insurance: The interface between SBM and policy
This blog has long argued that the best medicine is science-based medicine (SBM). The problem is that in the US SBM is often not accessible, except at ruinous cost, which is why I argue that we have to broaden our definition of SBM to include the systems that deliver it and pay for it.
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.
SBM in 2023
Some thoughts as we complete our 15th year of science-based medicine.