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Updated: Apr 17, 2026

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
Published on: November 21, 2023
Injudicious use of EBM: one step forward, two steps back
Problem:
The authors are concerned that an overrestrictive approach to evidence-based medicine could lead to the neglect of valuable treatment options.
Methodology:
We describe the need for a personalised approach to evidence-based medicine, and support this with examples from ENT practice.
Results:
We concur with the point of view that evidence at all levels should be used in clinical decision-making and we suggest that fitness for purpose is more important than hierarchy of evidence.
Conclusion:
We conclude that the application of evidence-based medicine should involve trying to select the best therapy for individuals on the basis of the total spectrum of treatment options. Evidence and expertise should work synergistically.
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