{"id":31782,"date":"2014-06-16T11:47:14","date_gmt":"2014-06-16T10:47:14","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=31782"},"modified":"2014-07-07T15:45:44","modified_gmt":"2014-07-07T14:45:44","slug":"the-bmj-today-is-ebm-broken-then-how-about-a-nice-cuppa","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/06\/16\/the-bmj-today-is-ebm-broken-then-how-about-a-nice-cuppa\/","title":{"rendered":"The BMJ Today: Is EBM broken? Then how about a nice cuppa"},"content":{"rendered":"<p>Is evidence based medicine broken? That\u2019s the question that Greenhalgh et al are asking in <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3725\">this Analysis article<\/a>. From inside <em>The BMJ<\/em>, with our attempts to shed light on unpublished data, it\u2019s easy to become jaded about the whole medical-industrial complex, and say that yes, it is.<\/p>\n<p>But recently, while editing some videos collected as part of the joint <a href=\"http:\/\/www.bmj.com\/about-bmj\/article-clusters\/evidence\"><em>BMJ<\/em>\/<em>JAMA<\/em> history of EBM series<\/a>, it was hard not to be caught up in the excitement and passion of some of the instigators of the movement.<!--more--><\/p>\n<p>Greenhalgh et al suggest that the problem isn&#8217;t just that there is a skewing of the evidence base for some drugs. Now that the low hanging fruit have been picked, evidence of benefit is becoming more marginal, and there is a tendency to apply that evidence in a very algorithmic way, they argue. Their suggestion? Make medicine more patient centred, and use clinical judgement to apply the evidence to the individual.<\/p>\n<p>That will be good news to some of the rapid responders to the <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3726\">\u201c<em>The BMJ<\/em>\u2019s own patient journey\u201d Editorial<\/a>. One in particular, Amy Price from Edmonton, north London, <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3726\/rr\/702064\">calls for including patients\u2019 voices<\/a> in the publication process, and giving them the opportunity to become peer reviewers. The good news there is that <em>The BMJ<\/em> is starting to do this\u2014and the video below explains how you can sign up as a patient reviewer with us.<\/p>\n<p>http:\/\/youtu.be\/xRVECdACkwI<\/p>\n<p>Peer review is one of those activities which, it is commonly supposed, happens during coffee breaks (though I\u2019m told by some of our reviewers that a good, thorough one can take a few hours). In <em>The BMJ<\/em>\u2019s coffee breaks, we often discuss work niggles, or check what Twitter is saying about us today (statins, usually), but coffee breaks are a luxury our GP colleagues are finding their increasing workload is squeezing out of their day. <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3444?tab=responses\">Margaret McCartney\u2019s readers find them useful<\/a>\u2014tell us how do you take yours?<\/p>\n<p><em><strong>Duncan Jarvies<\/strong>\u00a0is multimedia producer for The BMJ.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Is evidence based medicine broken? That\u2019s the question that Greenhalgh et al are asking in this Analysis article. From inside The BMJ, with our attempts to shed light on unpublished [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/06\/16\/the-bmj-today-is-ebm-broken-then-how-about-a-nice-cuppa\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[447,5750,1357],"tags":[],"class_list":["post-31782","post","type-post","status-publish","format-standard","hentry","category-india","category-the-bmj-today","category-us-health-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Is EBM broken? 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