Topoi 33 (2):313-322 (2014)

Authors
Jacob Stegenga
Cambridge University
Abstract
Evidence hierarchies are widely used to assess evidence in systematic reviews of medical studies. I give several arguments against the use of evidence hierarchies. The problems with evidence hierarchies are numerous, and include methodological shortcomings, philosophical problems, and formal constraints. I argue that medical science should not employ evidence hierarchies, including even the latest and most-sophisticated of such hierarchies
Keywords Evidence  Causality  Evidence hierarchies  Medicine  Randomized trials  Mechanisms  Amalgamating evidence  Quality assessment tools  RCTs  Meta-analysis
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DOI 10.1007/s11245-013-9189-4
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References found in this work BETA

The Philosophy of Evidence-Based Medicine.Jeremy Howick - 2011 - Wiley-Blackwell, Bmj Books.
Interpreting Causality in the Health Sciences.Federica Russo & Jon Williamson - 2007 - International Studies in the Philosophy of Science 21 (2):157 – 170.
Is Meta-Analysis the Platinum Standard of Evidence?Jacob Stegenga - 2011 - Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 42 (4):497-507.

View all 25 references / Add more references

Citations of this work BETA

What is Mechanistic Evidence, and Why Do We Need It for Evidence-Based Policy?Caterina Marchionni & Samuli Reijula - 2019 - Studies in History and Philosophy of Science Part A 73:54-63.

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