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Much of the scientific literature in biology is working off of hypotheses that don't have a huge amount of evidence. There are a large number of studies that pr
by chaxor 3y ago
Much of the scientific literature in biology is working off of hypotheses that don't have a huge amount of evidence.
There are a large number of studies that present a molecular mechanism which, if studied in depth, will not always be consistent with what is presented in the literature. This is often dealt with by appending several conditions that must be met, such that the combinatorial space grows large enough and the only study that is done that meets the requirements is the one being presented.
In this way, almost anything can be stated to fit some shiny new hypothesis.
This is effectively the science based method, since it can be tracked to a, perhaps, 'plausible' mechanism (although often now lean towards more 'intriguing' than parsimonious, especially if published somewhere like Nature)
Evidence based medicine has other faults. One subfield is meta-analysis, which looks for very solid observations that are reproducible, but often lacks the complicated modeling that may be necessary to see any highly conditional effects. So the findings tend to be real, but boring and often "well-known". It is however, a good way to check if the "well-known" observations in the literature are reproducible.
- haldujai 3y agoYou're (correctly) addressing some of the issues in biomedical research but even the most rigorous and validated science does not necessarily translate into clinical outcomes for a laundry list of reasons. Evidence based medicine includes lab/animal studies (i.e. scientific literature in biology) but when we talk about EBM what we really mean is "outcomes based medicine" rather than relying on the science. EBM reduces the question to "Does intervention X change clinical outcome Y in population Z" to obviate many (but not all) of the clinical translation issues.