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Where's the Evidence?: Debates in Modern Medicine

Autor William A. Silverman Cuvânt înainte de David L. Sackett
en Limba Engleză Paperback – 15 apr 1999
The essays in Where's the Evidence? focus on problems ignored. This book is a unique collection of critical andw controversial essays on intractable ethical issues and evidence-based problems in modern medicine. Most, but notr therapeutic disasters. Although it is impossible to prevent all missteps in medicine, the author argues, a hedging strategy using concurrent controls when new therapies are introduced always reduces the number of patients killed or injured. It is dangerous to use treatments widely, he warns, before they are subject to rigorous comparative trials. Additionally, the author points out, questions have emerged about how to wield medicine's new capabilities wisely. How do we draw the line,' he asks 'between "knowing" (the acquisition of new medical information) and "doing" (the application of that new knowledge). What are the long- term consequences (moral, social, economic, and biological) of responding to a demand that medicine always do everything that can be done?' This book now issued in paperback is a collection of critical and controversial essays discussing intractable ethical issues and evidence-based problems in modern medicine. The essays together with responses were published over a ten-year period in the journal Paediatric and Perinatal Medicine. Most of the examples, but not all are taken from perinatal medicine, the field in which the author has worked for many years. The essays are thought provoking and will be of great interest to those involved in the ongoing evidence-based medicine debate. (See selected reviews)
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Specificații

ISBN-13: 9780192630889
ISBN-10: 0192630881
Pagini: 278
Dimensiuni: 155 x 234 x 16 mm
Greutate: 0.4 kg
Ediția:Revised
Editura: OUP OXFORD
Colecția OUP Oxford
Locul publicării:Oxford, United Kingdom

Recenzii

This is an extraordinary book!...Bill Silverman, brings to bear on contemporary medical issues the logic of science, an abiding concern for the welfare of infants, and a vigorous defense of the rights of their parents. His essays should be savored, dipped into and returned to rather than read consecutively from cover to cover, thought about, argued with, and reread.
This book reminds me of Alastair Cooke's classic radio broadcasts "Letter from America". Like Cooke, Bill Silverman has the ability to select a topic that you didn't know you were concerned about, capture your interest with an intriguing introduction, and then hold your attention with an avuncular, reflective, and civilised commentary...A feast of quotations, a sense of humour, and pointed but gentle challenges to conventional wisdom.
These essays were written over the past decade for the medical audience, but their subject matter and the range of materials Silverman brings to the discussions make them useful, and important reading for a much larger public. As a collection of key issues in the development and application of medical knowledge, the present volume provides a wealth of case studies which could be probed by scholars in fields such as anthropology, sociology, public policy and philosophy.
As the parent of a child born prematurely who was damaged by modern medicine, I greatly appreciate Dr Silverman's honesty, clarity and anger.. I urge all who work with premature babies to read this book carefully. Most parents of such babies already know what Dr Silverman has discovered.
This compilation... deserves the widest possible readership within and beyond the medical community. As a pioneer in neonatology and controlled clinical trials, the author brings unparalleled experience to these pieces.
This collection is a tribute to a wise and thoughtful physician of great distinction. We can all benefit from reading these reflections.
'...fascinating book...Dr David Sackett, who wrote the foreword said "I stayed up all night reading this book. "I suspect that other readers will too.'
'Where's the evidence? published by Oxford University Press, contains 45 essays which first appeared in Paediatric and Epidemiology, brought up to date with current comments and annotation, some by the author and some by other experts. To open a page and start reading is to be enthralled...Silverman takes up difficult problems. He does not always solve them, but he does offer challenging and sometimes unconvential points of view...Do obtain a copy, dip into it, and enjoy yourself while you stretch your mind.'