2020
DOI: 10.1159/000506166
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The Trouble with Evidence-Based Medicine

Abstract: would conventionally, alarmingly, occupy the top of the EBM pyramid [3].What started a quarter of a century ago as a scientific and methodical approach to the practice and teaching of medicine risks being reduced into a form of post-expertise statistical medicine that has little relevance to real-life clinical practice. Psychiatry is particularly susceptible due to the frequent unrepresentativeness of patients recruited in RCTs [6] and remarkable heterogeneity and complexity of patient populations, interventio… Show more

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