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The essays in 'Where's the evidence?' focus on problems that have attended modern medicine's accrual of immense new powers to change the expected course of many ancient diseases. The advances have been accompanied by recurrent therapeutic disasters. Although it is impossible to prevent all missteps in medicine, the author argues that a hedging strategy using concurrent controls when new therapies are introduced always reduces the number of patients killed or injured. It is dangerous to use treatments widely, he warns, before they are subject to rigorous comparative trials. Additionally questions have emerged about how to wield medicine's new capabilities wisely. How do we draw the line between 'knowing' (the acquisition of new medical information) and 'doing' (the application of that new knowledge)? What are the long-term consequences (moral, social, economic, and biological) of responding to a demand that clinicians always do everything that can be done? This book is a collection of critical and controversial essays discussing intractable ethical issues and evidence-based problems in modern medicine. The essays together with responses were published over a ten-year period in the journal Paediatric and Perinatal Epidemiology. Most of the examples, but not all, are taken from perinatal medicine, the field in which the author has worked for many years.The essays are thought-provoking and will be of great interest to those involved in the ongoing evidence-based medicine debate.

evidence-based geneeskunde --- perinatale geneeskunde --- médecine fondée sur la preuve --- médecine périnatale --- Ethics, Medical --- Evidence-Based Medicine --- Evidence-based medicine --- Medical ethics --- Pediatrics --- Perinatology --- Research --- Moral and ethical aspects. --- Miscellanea. --- Medicine, Perinatal --- Perinatal medicine --- Obstetrics --- Biomedical ethics --- Clinical ethics --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- EBM (Medicine) --- Evidence-based healthcare --- Clinical medicine --- Systematic reviews (Medical research) --- Moral and ethical aspects --- Miscellanea --- Decision making

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Epidemiology --- Epidemiologic Methods --- Clinical epidemiology --- Epidémiologie clinique --- Epidemiologic Methods. --- Epidemiologic Method --- Epidemiological Methods --- Methods, Epidemiologic --- Epidemiological Method --- Method, Epidemiologic --- Method, Epidemiological --- Methods, Epidemiological --- methods --- Clinical epidemiology. --- Epidemiologic methods --- Epidemiologic methods. --- Epidémiologie clinique

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Epidemiology --- Clinical epidemiology. --- Epidémiologie clinique --- Epidemiologic Methods --- Clinical epidemiology --- Epidemiologic Methods. --- 616-036.22 --- Epidemiologic Method --- Epidemiological Methods --- Methods, Epidemiologic --- Epidemiological Method --- Method, Epidemiologic --- Method, Epidemiological --- Methods, Epidemiological --- Epidemics. Epidemiology --- methods --- 616-036.22 Epidemics. Epidemiology --- Epidémiologie clinique --- Épidémiologie clinique. --- Méthodes épidémiologiques.

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Evidence-Based Medicine. --- Problem Solving. --- Medical Audit --- Teaching --- Evidence-Based Medicine --- Family Practice. --- Family Practices --- Practice, Family --- Practices, Family --- Academic Training --- Educational Technics --- Educational Techniques --- Pedagogy --- Teaching Methods --- Technics, Educational --- Techniques, Educational --- Training Activities --- Training Technics --- Training Techniques --- Activities, Training --- Educational Technic --- Educational Technique --- Method, Teaching --- Methods, Teaching --- Pedagogies --- Teaching Method --- Technic, Educational --- Technic, Training --- Technics, Training --- Technique, Educational --- Technique, Training --- Techniques, Training --- Training Activity --- Training Technic --- Training Technique --- Training, Academic --- Education --- Executive Function --- methods. --- Medicine, Evidence-Based --- Evidence Based Medicine --- Medicine, Evidence Based --- Decision Support Techniques --- Clinical Medicine --- Evidence-Based Dentistry --- Evidence-Based Nursing --- 616 --- Pathologie. Klinische geneeskunde --- Activity, Training --- Problem Solving --- Family Practice --- methods