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  • Tarnished Gold: The Sickness of Evidence-based Medicine by Hilary Roberts Phd book cover
  • Tarnished Gold: The Sickness of Evidence-based Medicine by Hilary Roberts Phd book cover
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Tarnished Gold: The Sickness of Evidence-based Medicine

by Hilary Roberts Phd

A critique of evidence-based medicine

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AlbakiReads Editorial

A critique of evidence-based medicine

Hilary Roberts challenges evidence-based medicine’s role in clinical decision-making, arguing that its reliance on population averages can conflict with individual patient needs. The book draws on decision science and cybernetics to examine the implications of the approach as Roberts presents it, including the limits she attributes to large trials and their ability to identify disease causes. Its central subject is the tension between standardized evidence and individualized treatment, alongside the author’s call for clinicians to reclaim greater autonomy. The claims are presented as Roberts’s critique of medical practice, not as a neutral guide to the field.

Good fit for readers who enjoy

  • Medical practitioners interested in arguments about clinical autonomy and individualized care.
  • Readers exploring critiques of evidence-based medicine and its use in medical research.

Themes

Evidence-based medicineClinical decision-makingIndividualized treatmentMedical research and large trialsClinical autonomy

Based on publisher information and book metadata.

Book overview

Evidence-based medicine, the "gold standard" of medical decision making, is increasingly unpopular with clinicians. They are right to have reservations. EBM breaks the laws of so many disciplines that it cannot be considered scientific or even rational. Decision science and cybernetics show the disturbing consequences of such flaws. EBM fosters marginally effective treatments, based on population averages rather than individual need. Its mega-trials are theoretically incapable of finding the causes of disease, yet swallow up research funds. Ultimately, EBM cannot avoid risking patients' health. It is time for medical practitioners to discard EBM's tarnished gold standard, reclaim their clinical autonomy, and provide individualised treatments to patients. This book explains why and how.
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