Hijacking of Evidence Based Medicine
Sunday, April 16th, 2017 04:02 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
Thanks to
shehasathree for linking to this fascinating (if depressing) article about the unfulfilled promise of evidence based medicine.
http://retractionwatch.com/2016/03/16/evidence-based-medicine-has-been-hijacked-a-confession-from-john-ioannidis/
The speaker is John Ioannidis, heavily cited for his paper,
"Why Most Published Research Findings Are False"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1182327/
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http://retractionwatch.com/2016/03/16/evidence-based-medicine-has-been-hijacked-a-confession-from-john-ioannidis/
begin quote
Since clinical research that can generate useful clinical evidence has fallen off the radar screen of many/most public funders, it is largely left up to the industry to support it. The sales and marketing departments in most companies are more powerful than their R&D departments. Hence, the design, conduct, reporting, and dissemination of this clinical evidence becomes an advertisement tool. As for “basic” research, as I explain in the paper, the current system favors PIs who make a primary focus of their career how to absorb more money. Success in obtaining (more) funding in a fiercely competitive world is what counts the most. Given that much “basic” research is justifiably unpredictable in terms of its yield, we are encouraging aggressive gamblers. Unfortunately, it is not gambling for getting major, high-risk discoveries (which would have been nice), it is gambling for simply getting more money.
end quote
The speaker is John Ioannidis, heavily cited for his paper,
"Why Most Published Research Findings Are False"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1182327/
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Date: 2017-04-16 09:53 pm (UTC)(no subject)
Date: 2017-04-17 07:01 pm (UTC)(no subject)
Date: 2017-04-22 02:03 pm (UTC)