Pseudoevidence‐based medicine: what it is, and what to do about it
Clinical Governance: An International Journal
ISSN: 1477-7274
Article publication date: 30 January 2007
Abstract
Purpose
The purpose of this paper is to define, describe, and understand how to combat pseudoevidence‐based medicine (PBM).
Design/methodology/approach
Descriptive essay and review.
Findings
PBM can be defined as the practice of medicine based on falsehoods that are disseminated as true evidence, then adopted by unwitting and well‐intentioned practitioners of evidence‐based medicine (EBM). PBM borders on being not only unethical, but also criminal. It may well result not only in inappropriate quality standards and processes of care, but also in harms to patients. Is there a motive to commit the crime of PBM? Is there an opportunity to commit the crime? And is there evidence of the crime beyond reasonable doubt? This article answers those questions.
Originality/value
PBM should be opposed. This article recommends individual and corporate ways to oppose it, including heightened individual skepticism when evaluating evidence, and improved professionalism in relationships with patients and scientific endeavor.
Keywords
Citation
Smith, W.R. (2007), "Pseudoevidence‐based medicine: what it is, and what to do about it", Clinical Governance: An International Journal, Vol. 12 No. 1, pp. 42-52. https://doi.org/10.1108/14777270710725409
Publisher
:Emerald Group Publishing Limited
Copyright © 2007, Emerald Group Publishing Limited