Is science the answer?

Nearly ten years ago, Tobin described the irony that evidence-based medicine (EBM) lacks a sound scientific basis.¹ A sentinel paper concluded that most results of medical research were false,² and now the same author, a well-lauded EBM proponent, argues that even if true, most clinical research is not useful³ and now concedes that EBM has been 'hijacked' by 'vested interests' including industry and researchers.⁴ The community expends vast resources on research, yet it has been estimated that there is an 85% 'waste in the production and reporting of research evidence'.⁵

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