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Inviting Controversy: David Eddy at ICSI–Susannah Fox

December 1, 2009 By Susannah Fox 1 Comment

David Eddy did nothing to reassure Kent Bottles about evidence-based guidelines in his recent keynote, saying essentially: “The problem is that we don’t know what we are doing” (!!)

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Filed Under: found on the net Tagged With: Controversy, David Eddy, Doubts, Icsi, Keynote

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  1. Kent Bottles says

    December 2, 2009 at 2:22 pm

    Dr. Eddy did say that quotation in the BusinessWeek article referenced in the original blog post. In the Reinertsen Lecture he did a masterful job of showing how today’s evidence-based guidelines are better than no guidelines at all. However, he did point out that today’s evidence-based guidelines do have limitations. For example, many patients have multiple diseases, the need for sharp cut-offs in guidelines do result in the need for clinical judgment, and the need for shared decision-making between patient and provider. Dr. Eddy did reassure me that computer-based simulation may be a way to move evidence-based medicine forward from today’s single disease guidelines. I would refer readers to the comment by Al Burgener in the original ICSI blog: we need Informed Judgment

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