Köbberling Johannes
Innere Klinik des Ferdinand-Sauerbruch-Klinikums, Wuppertal.
Z Arztl Fortbild Qualitatssich. 2007;101(2):85-7. doi: 10.1016/j.zgesun.2007.01.001.
From the point of view of sociology a consensus may be incompatible with science. This also applies to consensus statements developed by a scientific medical society, since a lack of facts might have been replaced by a majority decision. This is in contrast to the idea of evidence-based medicine (EbM). Personal beliefs do not gain more plausibility (a higher level of evidence) by the mere fact that they are supported by a majority. Thus it is not helpful to demand that EbM-oriented guidelines also be consensus-based.
从社会学的角度来看，达成共识可能与科学不相容。这也适用于科学医学协会制定的共识声明，因为缺乏事实依据可能已被多数人的决定所取代。这与循证医学（EbM）的理念形成对比。个人信念不会仅仅因为得到多数人的支持就更具可信度（更高的证据水平）。因此，要求以循证医学为导向的指南也以共识为基础并无益处。
