Down with the Hierarchies

Topoi 33 (2):313-322 (2014)
  Copy   BIBTEX

Abstract

Evidence hierarchies are widely used to assess evidence in systematic reviews of medical studies. I give several arguments against the use of evidence hierarchies. The problems with evidence hierarchies are numerous, and include methodological shortcomings, philosophical problems, and formal constraints. I argue that medical science should not employ evidence hierarchies, including even the latest and most-sophisticated of such hierarchies

Similar books and articles

Is meta-analysis the platinum standard of evidence?Jacob Stegenga - 2011 - Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 42 (4):497-507.
What evidence in evidence-based medicine?John Worrall - 2002 - Proceedings of the Philosophy of Science Association 2002 (3):S316-S330.
Until RCT proven? On the asymmetry of evidence requirements for risk assessment.Barbara Osimani - 2013 - Journal of Evaluation in Clinical Practice 19 (3):454-462.
The Role of Measurement in Establishing Evidence.L. McClimans - 2013 - Journal of Medicine and Philosophy 38 (5):520-538.
Bias and Conditioning in Sequential medical trials.Cecilia Nardini & Jan Sprenger - 2013 - Philosophy of Science 80 (5):1053-1064.
Evidence-based medicine and ethics: a practical approach.P. Vineis - 2004 - Journal of Medical Ethics 30 (2):126-130.

Analytics

Added to PP
2013-11-21

Downloads
926 (#14,620)

6 months
135 (#24,125)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Jacob Stegenga
Cambridge University

References found in this work

The philosophy of evidence-based medicine.Jeremy H. Howick - 2011 - Chichester, West Sussex, UK: Wiley-Blackwell, BMJ Books.
Interpreting causality in the health sciences.Federica Russo & Jon Williamson - 2007 - International Studies in the Philosophy of Science 21 (2):157 – 170.
Is meta-analysis the platinum standard of evidence?Jacob Stegenga - 2011 - Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 42 (4):497-507.
Are rcts the gold standard?Nancy Cartwright - 2007 - Biosocieties 1 (1):11-20.

View all 22 references / Add more references