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
Summary
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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