Recenti Prog Med. 2024 May;115(5):213-214. doi: 10.1701/4262.42399.
The interpretation of clinical research evidence is still characterized by wide subjectivity. This subjectivity is also visible when comparing guidelines and recommendations developed by institutions and learned societies. It is often due to bias and conflicts of interest experienced by the members of guideline panels: thus, the role of editors and publishers of journals and scientific media becomes increasingly important, and they should return to careful oversight of the content of what is published. To address the problem, however, it is necessary to return to teaching evidence-based medicine in order to restore its function as a "North star" in clinical practice and public health decision-making.
临床研究证据的解读仍然具有很大的主观性。在比较机构和学术团体制定的指南及建议时,这种主观性也很明显。这往往是由于指南制定小组的成员存在偏见和利益冲突所致:因此,期刊和科学媒体的编辑及出版商的作用变得越来越重要,他们应该重新认真监督所发表内容的质量。然而,为了解决这个问题,有必要重新开展循证医学教学,以便恢复其在临床实践和公共卫生决策中作为“北极星”的作用。