http://e-patients.net/archives/2009/12/inviting-controversy-david-eddy-at-icsi.html because health professionals can't do it alone Sat, 11 Feb 2012 08:53:56 +0000 hourly 1 http://e-patients.net/archives/2009/12/inviting-controversy-david-eddy-at-icsi.html/comment-page-1#comment-48886 Kent Bottles Wed, 02 Dec 2009 19:22:48 +0000 http://e-patients.net/?p=3983#comment-48886 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 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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