This collection of discussions reflects a generally positive reception, with participants referencing the updated model, its comparison to earlier hierarchies, and its potential to nuance evidence evaluation, exemplified by comments such as 'more realistic to me' and mentions of its role in improving systematic reviews. The tone varies from curiosity to appreciation for the model's conceptual clarity, highlighting broad engagement and recognition of its significance in evidence-based practice.
AgreementModerate agreement
Most discussions recognize the value of the new proposal, supporting it as a meaningful update.
InterestHigh interest
There is high curiosity about the new evidence pyramid and its implications, with many references and enthusiastic commentary.
EngagementHigh engagement
Numerous posts include detailed references, links, and discussions about the hierarchy's structure, showing deep involvement.
ImpactModerate impact
While some see it as a significant conceptual improvement, the overall impact appears moderate, primarily influencing academic and clinical discussions.
Abstract in brief
The traditional evidence pyramid ranks systematic reviews and meta-analyses at the top, implying they are the most reliable sources of medical evidence.
However, there are counterarguments to this hierarchy, suggesting that not all evidence at the top is equally valid or useful in every context.
The authors propose a new perspective, viewing systematic reviews and meta-analyses as tools for understanding, appraising, and applying evidence, rather than just the highest form of evidence themselves.]
New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 107 likes · 42 shares · 32,294 followersView post →
三M
三高 隼人 | Hayato Mitaka, MD
@HMitaka · X
「新しいエビデンスのピラミッド」
引用の図のように捉えるように教えられました。
Murad MH, Asi N, Alsawas M, Alahdab F. New evidence pyramid. Evid Based Med. 2016 Aug;21(4):125-7. https://t.co/R41dehb1qs https://t.co/K4znbu9Ll2
Dec 12, 2023 · 28 likes · 7 shares · 894 followersView post →
This video clarifies misconceptions about chlorine dioxide, discussing its supposed as a treatment and referencing toxicological profiles and case studies. It aims to provide factual information about its safety and…
Dr. Ken Milne discusses the principles of evidence-based medicine, critical appraisal, and the limitations of traditional evidence hierarchies, introducing a new perspective on the evidence pyramid for clinical…
The traditional evidence pyramid ranks systematic reviews and meta-analyses at the top, implying they are the most reliable sources of medical evidence. These serve as tools for understanding and applying evidence…
The traditional evidence pyramid ranks systematic reviews and meta-analyses at the top. This video discusses a new perspective viewing these tools as means for understanding and applying evidence, rather than just the…
Wikipedia has one: commons.wikimedia.org/wiki/File:Re...
and there's also the "new" evidence pyramid, as seen at the GRADE blog, which is published CC-BY-NC in the original source usblog.gradeworkinggroup.org/2016/06/prop...
@RaisingSqrPegs @salthenurse08 @MEHtheNurseTwin I am also, yes, aware of the novel proposal cited in the perspective piece you pasted in - re: hierarchy. But the fact they term this a "new evidence pyramid" makes it clear it is a more novel proposal.
An oldie, but a goodie from 2016 for #FlashbackFebruary: The New Evidence Pyramid. https://t.co/04DbwME9gL Learn more about #systematicreviews with us in sunny, Miami April 30th at our next workshop! Register at https://t.co/pXZJEGwOit https://t.co/jJaxfoEJfh
Feb 29, 2024 · 2 likes · 2 shares · 2,538 followersView post →
佐
佐藤剛裕
@officesatojapan · X
Evidence Based Medicine の話ですよね。もとからエビデンスのもつ社会的な権力の階層性みたいな話を含むのでは?
Murad, M. H., Asi, N., Alsawas, M., & Alahdab, F. (2016). New evidence pyramid. Evidence-Based Medicine, 21(4), 125-127. https://t.co/P3M4MzxVqt https://t.co/Z94CTwj5zA
Jan 31, 2024 · 2 likes · 4,619 followersView post →
By the way, this cube is our new evidence pyramid :)
Jan 9, 2024 · 2 likes · 2,546 followersView post →
KM
Ken Milne MD
@TheSGEM · X
@malta75616353 Therefore, I don’t accept your evidence that some government (which one-I’m Canadian) set up a fund for vax injury that it’s unsafe.
That would not be considered high-level based on this hierarchy in @BMJ_EBM
https://t.co/SYKer3QPDq
RT @HMitaka: 「新しいエビデンスのピラミッド」
引用の図のように捉えるように教えられました。
Murad MH, Asi N, Alsawas M, Alahdab F. New evidence pyramid. Evid Based Med. 2016 Aug…
Dec 12, 2023 · 7 shares · 1,632 followersView post →
バ内
バン@内科医のジレンマ
@lostphysicianYB · X
RT @HMitaka: 「新しいエビデンスのピラミッド」
引用の図のように捉えるように教えられました。
Murad MH, Asi N, Alsawas M, Alahdab F. New evidence pyramid. Evid Based Med. 2016 Aug…
Dec 12, 2023 · 7 shares · 4,409 followersView post →
RF
Reina Tonegawa-Kuji MD, Ph.D, FACC
@ReinaTonegawa · X
RT @HMitaka: 「新しいエビデンスのピラミッド」
引用の図のように捉えるように教えられました。
Murad MH, Asi N, Alsawas M, Alahdab F. New evidence pyramid. Evid Based Med. 2016 Aug…
Dec 12, 2023 · 7 shares · 6,583 followersView post →
三M
三高 隼人 | Hayato Mitaka, MD
@HMitaka · X
https://t.co/jkdl4lwjZg
Dec 12, 2023 · 1 like · 1 share · 894 followersView post →
三M
三高 隼人 | Hayato Mitaka, MD
@HMitaka · X
「新しいエビデンスのピラミッド」
引用の図のように捉えるように教えられました。
Murad MH, Asi N, Alsawas M, Alahdab F. New evidence pyramid. Evid Based Med. 2016 Aug;21(4):125-7. https://t.co/R41dehb1qs https://t.co/K4znbu9Ll2
Dec 12, 2023 · 28 likes · 7 shares · 894 followersView post →
KS
Kirsty Sale
@ElliottSale · X
Interesting perspective.
New evidence pyramid https://t.co/tXJxTh6ozN https://t.co/WvbCSVZyzP
Nov 22, 2023 · 14 likes · 9,727 followersView post →
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 178 followersView post →
SS
Saoirse E.O'Sullivan
@ScienceSaoirse · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 2,254 followersView post →
DM
David Beneitez, MD
@beneitez_david · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 1,291 followersView post →
N
Narut
@prasitlumkum · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 194 followersView post →
M
MCS
@MedComServices · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 507 followersView post →
NR
Natsir Ramadhan
@natsiradhan · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 560 followersView post →
GJ
Grange JC
@docdu16 · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 5,456 followersView post →
JV
José Miguel Torres Viera
@torresviera · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 6,076 followersView post →
ME
Montse Esquerda
@montse_esquerda · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 5,272 followersView post →
LS
lexbouter.bsky.social
@LexBouter · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 1,583 followersView post →
DH
Darla hagge
@DarlaHagge · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 401 followersView post →
CL
Carlos J Losada
@calrosl · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 1,344 followersView post →
PG
Pankaj Garg
@HEARTinMagnet · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 1,635 followersView post →
M
M
@MartinJuarez_Ft · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 128 followersView post →
AC
Aaysha Cader
@aayshacader · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 9,107 followersView post →
JP
James Turner, PhD
@JamesE_Turner · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 1,788 followersView post →
DB
Dr Liliana Laranjo on Bluesky
@LilianaLaranjo · X
RT @pash22: New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 42 shares · 1,594 followersView post →
AP
Ash Paul
@pash22 · X
New evidence pyramid
https://t.co/xYgVEARAwE via @MayoClinic researchers https://t.co/w9J4Nd6ieT
Feb 8, 2023 · 107 likes · 42 shares · 32,294 followersView post →
KM
Ken Milne MD
@TheSGEM · X
@jf_moore @DrAnoopKumar Please consider watching this video on #EBM https://t.co/kSMRK4V5J1
Feb 4, 2023 · 2 likes · 28,369 followersView post →
KM
Ken Milne MD
@TheSGEM · X
@dnunan79 @DrAnoopKumar I suspect the publisher picks the cover for marketing purposes.
After listening to the author discuss the book I reached out to @DrAnoopKumar. He invited me on his show to clarify some points about #ebm https://t.co/iTHEqXisH8
Feb 3, 2023 · 4 likes · 28,369 followersView post →
MF
Maples the Syrup Frog
@Maples46014332 · X
RT @HealthRevol: It was great to explore the evidence of evidence-based medicine and the denominator problem with @TheSGEM, a senior editor…
Feb 2, 2023 · 3 shares · 2,794 followersView post →
RK
Roberto Klappenbach
@RFKlappenbach · X
RT @MaartenvSmeden:
Feb 1, 2023 · 264 shares · 725 followersView post →
KJ
Ken Jaques (Jakes)
@kenjaques · X
RT @TheSGEM: @DrAnoopKumar @bmj_latest @CebmOxford @dnunan79 I also enjoyed the discussing the updated evidence pyramid. https://t.co/SYKer…
Jan 29, 2023 · 1 share · 17,107 followersView post →
KM
Ken Milne MD
@TheSGEM · X
Happy to receive feedback from #EBM experts like @trishgreenhalgh, @dnunan79, @GuyattGH, @SAEMEBM and others on this interview by @DrAnoopKumar.
https://t.co/ehQbO0H8Kk
Jan 28, 2023 · 7 likes · 28,369 followersView post →
KM
Ken Milne MD
@TheSGEM · X
@DrAnoopKumar @bmj_latest @CebmOxford @dnunan79 I also enjoyed the discussing the updated evidence pyramid. https://t.co/SYKer3RnsY https://t.co/pE6YrrWrkU
Jan 28, 2023 · 3 likes · 1 share · 28,369 followersView post →
KM
Ken Milne MD
@TheSGEM · X
RT @HealthRevol: It was great to explore the evidence of evidence-based medicine and the denominator problem with @TheSGEM, a senior editor…
Jan 28, 2023 · 3 shares · 28,369 followersView post →
AM
Anoop Kumar, MD
@DrAnoopKumar · X
RT @HealthRevol: It was great to explore the evidence of evidence-based medicine and the denominator problem with @TheSGEM, a senior editor…
Jan 28, 2023 · 3 shares · 1,694 followersView post →
N
Numocore
@Numocorr · X
It was great to explore the evidence of evidence-based medicine and the denominator problem with @TheSGEM, a senior editor of Academic Emergency Medicine.
https://t.co/EcrWVSG9u0
Jan 28, 2023 · 7 likes · 3 shares · 63 followersView post →
KM
Ken Milne MD
@TheSGEM · X
Thank you @DrAnoopKumar for the opportunity to talk about evidence-based medicine (#EBM).
https://t.co/CzedhQZFY6
Jan 28, 2023 · 1 like · 28,369 followersView post →
GF
Gabriel FM
@gabrielfmasc · X
Murad, et al 2016 presented, directly from @MayoClinic , this different hyerarchy model.
It seems more realistic to me.
doi: 10.1136/ebmed-2016-110401
#MedTwitter
#ScienceTwitter #research https://t.co/bgDpKYacNv
@MyNutritionSci @RogueScientist8 Don’t you think for the most part that the rigid hierarchy is a pretty good heuristic? I do agree though that the new evidence pyramid (https://t.co/jAverKRRtk), for example, adds more nuance and is a better concept.
Something important to consider when evaluating and critically appraising published literature. New evidence pyramids shine a light on the nuance of study designs and certainty of evidence https://t.co/3e52EO1sET https://t.co/LdSOx3E5T4 https://t.co/nNxw8wbZOK
#evidencebasedpractice here is a new evidence pyramid‼️to have a better sense of what bring systematic reviews #PopHealthLab @PopHealthLabCH @SSPHplus via
Aug 8, 2022 · 7 likes · 1 share · 929 followersView post →
AP
Ash Paul
@pash22 · X
New evidence pyramid
https://t.co/xYgVEARAwE via @mouazalsawas et al https://t.co/PnSG91FleQ
Aug 8, 2022 · 1 like · 1 share · 32,294 followersView post →
Aug 7, 2022 · 19 likes · 8 shares · 697 followersView post →
CW
Crying Wolf
@OncologyCompany · X
Revising the pyramid:
1) lines separating the study designs become wavy.
2) systematic reviews are ‘chopped off’ the pyramid.
3) systematic reviews are a lens through which evidence is viewed (applied).
New evidence pyramid @BMJ_EBM https://t.co/jnjAQxH8GL
Aug 7, 2022 · 2 likes · 1,999 followersView post →
PG
Philippe Gabriel
@ph2g · X
@pierre_jacquel2 Amha, il y a un peu de confusion dans le propos. En espérant que cette lecture pourra aider. Murad MH, Asi N, Alsawas M, Alahdab F. New evidence pyramid. Evid Based Med. 2016 Aug;21(4):125-7. doi: 10.1136/ebmed-2016-110401. Epub 2016 Jun 23. PMID: 27339128; PMCID: PMC4975798.
European Centre for Social Welfare Policy&Research
@EuroCentre_SWPR · X
RT @laurarpeck: The @EuroCentre_SWPR’s Rahel Kalhert suggests a thoughtful new #evidence pyramid with mixed #methods at the top. #EES2022…
Jun 8, 2022 · 2 shares · 1,052 followersView post →
J
Joyoflife
@Joyofli79316250 · X
RT @laurarpeck: The @EuroCentre_SWPR’s Rahel Kalhert suggests a thoughtful new #evidence pyramid with mixed #methods at the top. #EES2022…
Jun 8, 2022 · 2 shares · 2,707 followersView post →
DP
Dr. Laura R. Peck
@laurarpeck · X
The @EuroCentre_SWPR’s Rahel Kalhert suggests a thoughtful new #evidence pyramid with mixed #methods at the top. #EES2022 #eval https://t.co/2vANdwN1Qm
Jun 8, 2022 · 3 likes · 2 shares · 1,982 followersView post →
JP
Jesús F García-Gavilán, PhD
@JFGarciaGavilan · X
RT @NanBabio: New evidence pyramid | BMJ Evidence-Based Medicine https://t.co/Iawhl97KPE
#JCDL2020 SIGCM Workshop keynote: @jschneider is covering different models of evidence over the years.
Refs:
* https://t.co/GiXMzBYfx0
* https://t.co/pMjNGAVNMd https://t.co/JWa40MRB7V
Aug 1, 2020 · 2 likes · 1 share · 780 followersView post →
A
(PPT) New evidence pyramid
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