Abstract

Re: Book review: O.S. Miettinen: Up from clinical epidemiology & EBM

Highlights

  • In a logical sequence of progressively deduced propositions and principles, Dr Miettinen attempts to re-orient medical academia to the theories underlying clinical research in his recent book Up from Clinical Epidemiology & EBM (Evidence Based Medicine) [1]. This ambitious avantgarde text first examines the role of medical academia and criticizes—perhaps too harshly at times—the current ways of achieving knowledge about diagnosis, etiognosis, and prognosis in clinical medicine

  • The aim of EBM to standardize clinical practice is stymied by the process currently required to employ EBM

  • Miettinen proposes that diagnostic probability functions (DPF) be used instead of ‘reverse probabilities’ and Bayes factors commonly used in clinical epidemiology

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Summary

Introduction

In a logical sequence of progressively deduced propositions and principles, Dr Miettinen attempts to re-orient medical academia to the theories underlying clinical research in his recent book Up from Clinical Epidemiology & EBM (Evidence Based Medicine) [1]. This ambitious avantgarde text first examines the role of medical academia and criticizes—perhaps too harshly at times—the current ways of achieving knowledge about diagnosis, etiognosis, and prognosis in clinical medicine.

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