Where's the Evidence?

Medicine has developed many effective treatments, but new interventions have also produced unexpected harmful effects. Where's the Evidence? Now issued in paperback argues that parallel comparisons must be made before new treatments are adopted to reduce the number of patients exposed to the unknown hazards of medical innovations. Additionally, the long-term consequences of new treatments must not be ignored. This book is a unique collection of critical and controversial essays on intractable ethical issues and evidence-based problems in modern medicine. Most, but not all of the examples are taken from neonatal and perinatal medicine and were published over a period of 10 years together with responses in the journal Paediatric and Perinatal Epidemiology. Silverman is a leading light in the evidence-based medicine debate.