Problems with evidence-based medicine.

Evidence-based medicine is a modern paradigm by which to practice clinical medicine. It is rapidly gaining acceptance among academicians and clinicians as the optimal way to care for patients. Modern technology has facilitated easy access to information, improving the ability to put evidence-based medicine into practice. Data demonstrating its value are accumulating; however, like any innovation, evidence-based medicine has come under attack for a variety of shortcomings. These problems are both secondary to misapplication of basic principles inherent to the concept. (J Am Assoc Gynecol Laparosc 6(2):237-240, 1999)