Document Detail


The proper role of evidence in complementary/alternative medicine.
MedLine Citation:
PMID:  20026527     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this article we explore the role evidence ought to play in complementary and alternative medicine (CAM). First, we consider the claim that evidence in the form of randomized controlled trials (RCTs) cannot be obtained for CAMs. Second, we consider various claims to the effect that there are ways of obtaining evidence that do not make use of RCTs. We argue that there is no good reason why CAM should be exempted from the general requirement that treatments undergo evaluation by RCT. Third, we consider two implications for health care policy. First, many activities in conventional medicine have never been rigorously evaluated and are widely in use nonetheless. We argue that this fails to provide a reason for exempting CAM from a demand for evidence. Second, CAM use may be compared to a choice of lifestyle, and this has a significant impact on which requirements of evidence can reasonably be imposed.
Authors:
Kirsten Hansen; Klemens Kappel
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Publication Detail:
Type:  Journal Article     Date:  2009-12-21
Journal Detail:
Title:  The Journal of medicine and philosophy     Volume:  35     ISSN:  1744-5019     ISO Abbreviation:  J Med Philos     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-14     Completed Date:  2010-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610512     Medline TA:  J Med Philos     Country:  United States    
Other Details:
Languages:  eng     Pagination:  7-18     Citation Subset:  E; IM    
Affiliation:
Department of Public Health, Section for Health Services Research, Oester Farimagsgade 5, Building 9, PO Box 2099, DK-1014 Copenhagen K, Denmark. khansen@pubhealth.ku.dk
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MeSH Terms
Descriptor/Qualifier:
Causality
Complementary Therapies / ethics*
Evidence-Based Medicine / ethics,  methods
Health Policy
Humans
Life Style
Morals
Philosophy, Medical
Randomized Controlled Trials as Topic / ethics*,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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