The need for clinical judgement in the application of evidence-based medicine

What is it about?

Overly zealous application of evidence-based medicine (EBM) can go wrong in several ways. Examples include withholding lipid-lowering therapy in the elderly, not using B vitamins to prevent stroke, not using renal revascularisation for true renovascular hypertension, and avoiding statins for fear of intracerebral hemorrhage. Clinical Judgment is needed for appropriate application of EBM.

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