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• W2022856530 abstract "Proponents of evidence-based medicine (EBM) suggest that a hierarchy of evidence is needed to guide medical research and practice. Given a variety of possible evidence hierarchies, however, the particular version offered by EBM needs to be justified. This article argues that two familiar justifications offered for the EBM hierarchy of evidence-that the hierarchy provides special access to causes, and that evidence derived from research methods ranked higher on the hierarchy is less biased than evidence ranked lower-both fail, and that this indicates that we are not epistemically justified in using the EBM hierarchy of evidence as a guide to medical research and practice. Following this critique, the article considers the extent to which biases influence medical research and whether meta-analyses might rescue research from the influence of bias. The article concludes with a discussion of the nature and role of biases in medical research and suggests that medical researchers should pay closer attention to social mechanisms for managing pervasive biases." @default.
• W2022856530 created "2016-06-24" @default.
• W2022856530 creator A5080648168 @default.
• W2022856530 date "2009-01-01" @default.
• W2022856530 modified "2023-09-22" @default.
• W2022856530 title "Valuing Evidence: Bias and the Evidence Hierarchy of Evidence-Based Medicine" @default.
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• W2022856530 doi "https://doi.org/10.1353/pbm.0.0086" @default.
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