EBM (the practice and the journal) takes a ribbing

A writer at the Boston Globe is annoyed by the terms “evidence-based medicine” (and “reality-based community” and “fact-based presidency,” among others that he calls verbal tics).  Surely these terms have become overused. But they have become overused because people want to base decisions in evidence.  But the reporter scoffs at the BMJ (and the journal […]

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Universal screening with computed tomography for lung cancer? Finally a randomized trial…but what to do??

Expert opinion and observational studies have favored lung cancer screening but trials (of plain xrays) have not shown benefit, until now. For years, many have been asking for a randomized trial. Now that the results of the (US) National Lung Screening Trial (NSLT) have been published, it reminds me of the admonition to “be careful […]

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