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Sep 2012

Pitfalls of Evidence-Based Medicine Revisited

Author Affiliations

Author Affiliation: Department of Dermatology, University of Edinburgh, Edinburgh, Lothian, Scotland.

Arch Dermatol. 2012;148(9):1091-1092. doi:10.1001/archdermatol.2012.2010

I enjoyed greatly the article in the Archives by Gilchrest and Martin1 about some of the pitfalls of evidence-based medicine. The article was insightful and nuanced, so much so that I cannot but believe that their first sentence was written with a degree of irony. The authors state that “No one can argue about the merit of evidence-based medicine.”1(p528) Well, of course, the medical literature is full of cogently argued expressions of doubts about the epistemology of evidence-based medicine (for a recent review, see Goldenberg et al2 and all articles in that same volume of Perspectives in Biology and Medicine devoted to this subject).

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