Evidence based medicine is broken

Des Spence

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Evidence based medicine is broken

机译：基于证据的药物被破坏了

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Evidence based medicine (EBM) wrong footed the drug industry for a while in the 1990s. We could fend off the army of pharmaceutical representatives because often their promotional material was devoid of evidence. But the drug industry came to realise that EBM was an opportunity rather than a threat. Research, especially when published in a prestigious journal, was worth more than thousands of sales representatives. Today EBM is a loaded gun at clinicians' heads. "You better do as the evidence says," it hisses, leaving no room for discretion or judgment. EBM is now the problem, fuelling overdiagnosis and overtreatment.

机译：基于证据的医学（EBM）在1990年代将药业错误脚步了一段时间。我们可以抵御药品代表的军队，因为他们的促销材料常常没有证据。但是药品行业开始意识到EBM是一个机会，而不是威胁。研究，尤其是在享有声望的期刊上发表的研究，价值超过数千名销售代表。今天，EBM是临床医生头上的一把枪。 “您最好按照证据说的那样做，”它的嘶嘶声，没有酌处权或判断的空间。 EBM现在是问题，加剧了过度诊断和过度治疗。

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《BMJ: British medical journal》 |2014年第7940期|41-41|共1页
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Evidence-Based Medicine; Legislators; SalesMilitary PersonnelPharmaceutical IndustryBREAKSAdvertisements;

机译：循证医学;立法者;销售人员人事行业行业破坏性侵犯;

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Evidence based medicine is broken

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