In a letter published in the British Medical Journal, an orthopedic surgeon rightly points to many reasons why EBM is flawed. He says the “blind pursuit of the holy grail of statistical significance” in studies can result in doctors overlooking harm to patients as well as ways to help them. Evidence-Based Medicine guidelines can be biased due to institutional support and conflicts of interest among those determining what constitutes EBM. The guidelines can be “slow and out of date.”
