Where's the Evidence?: Debates in Modern Medicine

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9780192630889: Where's the Evidence?: Debates in Modern Medicine

Medicine is moving away from reliance on the proclamations of authorities to the use of numerical methods to estimate the size of effects of its interventions. But a rumbling note of uneasiness underlines present-day medical progress: the more we know, The more questions we encounter about what to do with the hard-won information.
The essays in Where's the Evidence examine the dilemmas that have arisen as the result of medicine's unprecedented increase in technical powers. How do doctors draw the line between "knowing" (the acquisition of new medical information) and doing" (the application of that new knowledge)? What are the long-term consequences of responding to the demand that physicians always do everything that can be done? Is medicine's primary aim to increase the length of life? Or is it to reduce the amount of pain and suffering? And who is empowered to choose when these ends are mutually exclusive? This engaging collection of essays will be of interest to professionals interested in the evidence-based medicine debate, including epidemiologists, neonatologists, those involved in clinical trials and health policy, medical ethicists, medical students, and trainees.

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About the Author:

William A. Silverman is at Columbia University.

Review:


"This compilation...deserves the widest possible readership within and beyond the medical community. As a pioneer in neonatology and controlled clinical trials, the author brings unparalleled experience to these pieces....The essays are pithy, scholarly, lucid, iconoclastic, and suffused with the author's humanity and humor."--Rob Schechter, Amazon


"[Silverman] encourages us to respond by questioning the evidence that informs our decisions, by distinguishing between the values we need when acquiring knowledge and those we need when applying it, and by recognizing that all medical previleges are granted to us by our patients. This book...offers succour to those of us who fear that most of the world's troubles are caused by people who have the courage of their convictions and yearn to hear from those like Silverman who have the courage of their doubts."--British Journal of General Practice


"This is an extraordinary book....[these] essays should be savored, dipped into and returned to rather than read consecutively from cover to cover, thought about, argued with, and reread."--The New England Journal of Medicine


"We can only be grateful that the distilled wisdom of a great man is at least in part encapsulated within 200 pages of highly readable prose....a unique collation of topics that are always thought provoking,usually challenging and sometimes downright aggravating."--Paediatric and Perinatal Epidemiology


"Where's the evidence? is a collection of 45 short, thoughtful and challenging essays in which Silverman continues to hold up a mirror to medical practitioners."--Journal of the Royal College of Physicians of London


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Silverman, William A.
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Descrizione libro Oxford University Press, United Kingdom, 1999. Paperback. Condizione libro: New. Revised ed.. Language: English . Brand New Book ***** Print on Demand *****.The essays in Where s the Evidence? focus on problems ignored. This book is a unique collection of critical andw controversial essays on intractable ethical issues and evidence-based problems in modern medicine. Most, but notr therapeutic disasters. Although it is impossible to prevent all missteps in medicine, the author argues, a hedging strategy using concurrent controls when new therapies are introduced always reduces the number of patients killed or injured. It is dangerous to use treatments widely, he warns, before they are subject to rigorous comparative trials. Additionally, the author points out, questions have emerged about how to wield medicine s new capabilities wisely. How do we draw the line, he asks between knowing (the acquisition of new medical information) and doing (the application of that new knowledge). What are the long- term consequences (moral, social, economic, and biological) of responding to a demand that medicine always do everything that can be done? This book now issued in paperback is a collection of critical and controversial essays discussing intractable ethical issues and evidence-based problems in modern medicine. The essays together with responses were published over a ten-year period in the journal Paediatric and Perinatal Medicine. Most of the examples, but not all are taken from perinatal medicine, the field in which the author has worked for many years. The essays are thought provoking and will be of great interest to those involved in the ongoing evidence-based medicine debate. (See selected reviews). Codice libro della libreria APC9780192630889

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William A. Silverman, David L. Sackett
Editore: Oxford University Press, United Kingdom (1999)
ISBN 10: 0192630881 ISBN 13: 9780192630889
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Descrizione libro Oxford University Press, United Kingdom, 1999. Paperback. Condizione libro: New. Revised ed.. Language: English . Brand New Book ***** Print on Demand *****. The essays in Where s the Evidence? focus on problems ignored. This book is a unique collection of critical andw controversial essays on intractable ethical issues and evidence-based problems in modern medicine. Most, but notr therapeutic disasters. Although it is impossible to prevent all missteps in medicine, the author argues, a hedging strategy using concurrent controls when new therapies are introduced always reduces the number of patients killed or injured. It is dangerous to use treatments widely, he warns, before they are subject to rigorous comparative trials. Additionally, the author points out, questions have emerged about how to wield medicine s new capabilities wisely. How do we draw the line, he asks between knowing (the acquisition of new medical information) and doing (the application of that new knowledge). What are the long- term consequences (moral, social, economic, and biological) of responding to a demand that medicine always do everything that can be done? This book now issued in paperback is a collection of critical and controversial essays discussing intractable ethical issues and evidence-based problems in modern medicine. The essays together with responses were published over a ten-year period in the journal Paediatric and Perinatal Medicine. Most of the examples, but not all are taken from perinatal medicine, the field in which the author has worked for many years. The essays are thought provoking and will be of great interest to those involved in the ongoing evidence-based medicine debate. (See selected reviews). Codice libro della libreria APC9780192630889

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