Evidence-Based Medicine: Why All The Fuss?
Authors: Frank Davidoff
Journal: Annals of Internal Medicine (1995)

Editorials1 May 1995Evidence-Based Medicine: Why All The Fuss?Frank Davidoff, MD, Kathleen Case, MS, and Pamela W. Fried, MBAFrank Davidoff, MDEditorVice President for PublishingDirector, Book and Journal PublishingSearch for more papers by this author, Kathleen Case, MSEditorVice President for PublishingDirector, Book and Journal PublishingSearch for more papers by this author, and Pamela W. Fried, MBAEditorVice President for PublishingDirector, Book and Journal PublishingSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-122-9-199505010-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail A new publication, Evidence-Based Medicine, will be introduced later this year by the American College of Physicians and the British Medical Journal Publishing Group. Its arrival raises several questions: Do we really need another medical journal? Why now? And what's all this fuss about “evidence-based medicine”?The use of evidence in medicine is certainly not new. Scientific medicine, by its very nature, implies both theory and practice that flow from objective, verifiable, shared data—the “evidence.” What has changed in clinical medicine in recent decades is the very nature of clinical evidence itself, in three important ways: the standards for gathering ...References1. Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Clinical Epidemiology: A Basic Science for Clinical Medicine. Boston: Little, Brown; 1991. Google Scholar2. Mulrow CD. Rationale for systematic reviews. BMJ. 1994; 309:597-99. Google Scholar3. Light DW. Uncertainty and control in professional training. J Health Soc Behav. 1979; 20:310-22. Google Scholar4. Gerrity MS, DeVellis RF, Earp JA. Physicians' reactions to uncertainty in patient care. A new measure and insights. Med Care. 1990; 28:724-36. Google Scholar5. Chalmers I. Scientific inquiry and authoritarianism in perinatal care and education. Birth. 1983; 10:151-63. Google Scholar6. Evidence-Based Medicine Working Group. Evidence-based medicine: a new approach to the teaching of medicine. JAMA. 1992; 268:2420-5. Google Scholar7. Haynes RB. The origins and aspirations of ACP Journal Club (Editorial). ACP J Club. 1991; Jan-Feb: A18 (Ann Intern Med. vol 114, suppl 1). Google Scholar8. Warren KS, Mosteller F, eds. Doing more good than harm: the evaluation of health care interventions. Ann N Y Acad Sci. 1993; 703:1-341. 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Dogma? Neologism? New orthodoxy?In search of the evidence: informing effective practiceGetting there from here: evidentiary quandaries of the US outcomes movementEvidence-based medicine 1 May 1995Volume 122, Issue 9Page: 727KeywordsBiostatisticsClinical decision support systemsClinical epidemiologyDecision analysisEpidemiologyEvidence based medicineExperimental designReasoning Issue Published: 1 May 1995 Copyright & PermissionsCopyright © 1995 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...