PubHawk
BMJ January 1996 PMID 8555924

Evidence based medicine: what it is and what it isn't.

D L Sackett, W M Rosenberg, J A Gray, R B Haynes, W S Richardson

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Mentions

157
Peak: 10 in Sep 2024
across 6 sources since Apr 2019

Extended reach

268,272
potential audience

Total likes

414

Video views

14,114

Mentions per month

Apr 2019 – Aug 2025

Where it's discussed

  • Blogs48 articles
  • News39 articles
  • X / Twitter34 posts
  • Facebook28 posts
  • Bluesky4 posts
  • YouTube4 videos

AI synopsis

What people are saying

The discussions reflect a collective effort to clarify what evidence-based medicine truly entails, with several comments referencing Sackett’s foundational paper and emphasizing its broader aspects beyond rigid guidelines. Words like 'nuanced,' 'clinical judgment,' and 'ethical principles' demonstrate a respectful tone, highlighting a desire to refine understanding rather than dismiss the core philosophy. The tone often balances critique with appreciation, contributing to a thoughtful exploration of EBM’s complexities and implications.

AgreementModerate agreement

Most discussions affirm the nuanced understanding of evidence-based medicine, emphasizing the importance of clinical judgment and patient values alongside scientific evidence, aligning with Sackett's original definitions.

InterestHigh interest

Participants display strong curiosity and relevance, referencing core concepts, such as the three pillars of EBM, and engaging in debates about its application and limitations.

EngagementHigh engagement

Many comments delve into deeper themes, questioning common perceptions, citing specific literature, and discussing implications, indicating active and thoughtful engagement.

ImpactModerate impact

There is recognition that the article influences ongoing discourse, though primarily within academic and professional circles, with some posts noting how EBM impacts medical practice and thinking.

Abstract in brief

  • Evidence-Based Medicine (EBM) is a clinical approach that emphasizes using the best available scientific research, clinical expertise, and patient preferences to make healthcare decisions.
  • It is not solely about relying on randomized controlled trials or scientific data; it also considers the clinician’s experience and the individual patient's values.
  • The goal of EBM is to improve patient outcomes by integrating evidence with clinical judgment, but it is not a rigid system that disregards the art of medicine or personalized care.]
Read the full abstract

Top posts

Most liked on X and Bluesky
タム・ポール(Tam Pole)@医療従事者
@tam_lbp · X

"【EBMが何であって何でないのか？】 EBMは""Ivory tower(現実離れして役に立たない)""とか、""Armchair(机上の空論)""と言われることがありますが、その主張は正しいでしょうか？ フリーアクセス

Mar 4, 2021 · 19 likes · 14,950 followers View post →
カス
@kspharmacist · X

アウトカムとは？というお題の良い題材なりそう笑。EBMの基本からやり直し案件。https://t.co/whv9O6Gvjp https://t.co/oJjtNl9lNy

Jul 21, 2022 · 12 likes · 4 shares · 641 followers View post →
Adj Prof Karen Price, 20-22 RACGP Past Prez
@brookmanknight · X

@doctimcook @pash22 @DrNeilStone Oh dearie me. Evidence based medicine was never ONLY the guidelines. Guidelines 1/3 Patient context/values 1/3 Physician context/expertise 1/3 https://t.co/Ynzal3zNNk Mindlines are the praxis. https://t.co/uCfDEUjF7T

Sep 15, 2024 · 9 likes · 2 shares · 9,910 followers View post →
Ash Paul
@pash22 · X

Evidence based medicine: what it is and what it isn't https://t.co/FlrfOlJbRH via #DavidSackett & @bmj_latest https://t.co/GItNrADXfO

Sep 15, 2024 · 8 likes · 5 shares · 32,311 followers View post →
Dr Divago
@DivagoTM · X

leitura basica obrigatoria pra quem quer debater ciencia Evidence based medicine: what it is and what it isn't https://t.co/Inv0B8U6PN

Nov 11, 2020 · 6 likes · 2 shares · 12,665 followers View post →
Ken Milne MD
@thesgem.bsky.social · Bluesky

pubmed.ncbi.nlm.nih.gov/8555924/

Jul 16, 2025 · 5 likes · 1 share View post →

All mentions

Understanding Evidence-Based Practice in Healthcare

Evidence-Based Practice (EBP) is a clinical approach that emphasizes using the best available scientific research, clinical expertise, and patient preferences to make healthcare decisions. It aims to improve patient…

KinéFACT · Mar 28, 2020 1,136 views
Ken Milne MD
@TheSGEM · X

@PunGridDoc @Rick_Pescatore I would argue that rigid #EBM is not EBM but rather a strawman or misapplication of the philosophy. EBM includes the literature to inform care but not dictate care. It still requires clinical judgment and asking about patients' values/preferences. https://t.co/qjc17RqVDi https://t.co/V4GQDUFadA

Aug 29, 2025 · 2 likes · 28,360 followers View post →
Michael Dods
@holonpsychology · X

Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: what it is and what it isn't: https://t.co/VnIRCILfOF

Aug 19, 2025 · 50 followers View post →
Ken Milne MD
@thesgem.bsky.social · Bluesky

pubmed.ncbi.nlm.nih.gov/8555924/

Jul 16, 2025 · 5 likes · 1 share View post →
Ken Milne MD
@TheSGEM · X

@Rudolf_Neumayer @CaulfieldTim @thewalrus It’s a Venn diagram explaining the three pillars of EBM with reference to Dr. Sackett’s paper. https://t.co/qjc17RqVDi Not sure if it’s a meme? Y/N: Is it your position that vax causes autism.? Not sure why you continue to avoid answering this simple question.

Jul 13, 2025 · 28,360 followers View post →
Ken Milne MD
@thesgem.bsky.social · Bluesky

Evidence based medicine: what it is and what it isn't www.bmj.com/content/312/...

Apr 9, 2025 View post →
VKHD
@VkhdDe · X

@Unheilpraktiker @FlorianDreaming @tkurbjuhn @ApothekerDer Na klar, man kann sich natürlich auf ein ganz eigenwilliges, reduziertes Verständnis von EBM zurückziehen ... dann aber fliegt so Manches aus dem therapeutisch anwendbaren Portfolio. Ansonsten siehe hier: https://t.co/Tb9rUsX9LD

Mar 21, 2025 · 343 followers View post →
Aribert Deckers
@aribertdeckers · X

@MarwinZander Das ist eine Lüge. Die ist bei ALLAXYS-1 geschreddert worden: "Sackett et al: 'Evidence based medicine: what it is and what it isn't'" https://t.co/klQOaq9YPD

Dec 2, 2024 · 2 likes · 1,016 followers View post →
El hombre Tuporaqui #7291
@psicoscar.bsky.social · Bluesky

5 Sackett, D.L. et al (1996). Evidence based medicine. What it is and what it isn’t. British Medical Journal, 312, 71-72. 3/n

Sep 30, 2024 · 1 like · 1 share View post →
Hans Huitink
@AirwayMxAcademy · X

RT @brookmanknight: @doctimcook @pash22 @DrNeilStone Oh dearie me. Evidence based medicine was never ONLY the guidelines. Guidelines 1/3…

Sep 23, 2024 · 2 shares · 14,478 followers View post →
Jim Paulo Sarsagat
@jimsarsagat · X

RT @brookmanknight: @doctimcook @pash22 @DrNeilStone Oh dearie me. Evidence based medicine was never ONLY the guidelines. Guidelines 1/3…

Sep 16, 2024 · 2 shares · 1,455 followers View post →
Bongani Mayosi Health Sciences Library (BMHSL)
@uct_bmhsl · X

RT @pash22: Evidence based medicine: what it is and what it isn't https://t.co/FlrfOlJbRH via #DavidSackett & @bmj_latest

Sep 16, 2024 · 5 shares · 1,593 followers View post →
Helen Haskell
@hhask · X

RT @pash22: Evidence based medicine: what it is and what it isn't https://t.co/FlrfOlJbRH via #DavidSackett & @bmj_latest

Sep 15, 2024 · 5 shares · 5,585 followers View post →
priya joseph
@ayirpelle · X

RT @pash22: Evidence based medicine: what it is and what it isn't https://t.co/FlrfOlJbRH via #DavidSackett & @bmj_latest

Sep 15, 2024 · 5 shares · 4,981 followers View post →
Prof John L Daniels
@DrJohnLDaniels1 · X

RT @pash22: Evidence based medicine: what it is and what it isn't https://t.co/FlrfOlJbRH via #DavidSackett & @bmj_latest

Sep 15, 2024 · 5 shares · 578 followers View post →
Adj Prof Karen Price, 20-22 RACGP Past Prez
@brookmanknight · X

RT @pash22: Evidence based medicine: what it is and what it isn't https://t.co/FlrfOlJbRH via #DavidSackett & @bmj_latest

Sep 15, 2024 · 5 shares · 9,910 followers View post →
Ash Paul
@pash22 · X

Evidence based medicine: what it is and what it isn't https://t.co/FlrfOlJbRH via #DavidSackett & @bmj_latest https://t.co/GItNrADXfO

Sep 15, 2024 · 8 likes · 5 shares · 32,311 followers View post →
Adj Prof Karen Price, 20-22 RACGP Past Prez
@brookmanknight · X

@doctimcook @pash22 @DrNeilStone Oh dearie me. Evidence based medicine was never ONLY the guidelines. Guidelines 1/3 Patient context/values 1/3 Physician context/expertise 1/3 https://t.co/Ynzal3zNNk Mindlines are the praxis. https://t.co/uCfDEUjF7T

Sep 15, 2024 · 9 likes · 2 shares · 9,910 followers View post →
Dr. Karin Kelle-Herfurth
@drkelleherfurth.medsky.social · Bluesky

@drdanielloy.bsky.social Genau so! Es bedarf keiner Kausalität und Eindeutigkeit durch bestimmte Biomarker (zumal Komplexerkrankung), um dem Versorgungsauftrag nachzukommen und nach ethischen Prinzipien zu handeln. Und selbst „keine Evidenz laut Studien“ befreit nicht von Verantwortung. t1p.de/ogn09

Apr 2, 2024 · 4 likes · 1 share View post →
名郷直樹
@nnago · X

EBMとは何か、それは重要でないと言いつつ… https://t.co/6U4JpciauK

Feb 8, 2024 · 2 likes · 12,048 followers View post →
Esteban Villegas-Arbeláez
@estebanvia92 · X

As part of the Y3 Mentoring program of @Cochrane_US doing @cochranecollab ’s digital induction; 3 basic elements for EBM: - Clinical Judgement - Relevant Scientific Evidence - Patients' values and preferences Read more about EBM at DOI: 10.1136/bmj.312.7023.71

Jan 13, 2024 · 3 likes · 109 followers View post →
HITOSHI O-MURA
@14mura · X

Evidence based medicine: what it is and what it isn't - PubMed https://t.co/IQ7oyA2JEV

Oct 15, 2022 · 1 like · 965 followers View post →
at_ayeaye
@at_ayeaye · X

Evidence based medicine: what it is and what it isn't. Sackett DL, et al. BMJ. 1996;312(7023):71-72. https://t.co/sSKjZV8PI6

Sep 15, 2022 · 590 followers View post →
またり
@Mattari_yu_ruri · X

RT @kspharmacist: アウトカムとは？というお題の良い題材なりそう笑。EBMの基本からやり直し案件。https://t.co/whv9O6Gvjp

Jul 21, 2022 · 4 shares · 43 followers View post →
三戸
@3itoxantrone · X

RT @kspharmacist: アウトカムとは？というお題の良い題材なりそう笑。EBMの基本からやり直し案件。https://t.co/whv9O6Gvjp

Jul 21, 2022 · 4 shares · 575 followers View post →
.┓┏.
@whisperofgecko · X

RT @kspharmacist: アウトカムとは？というお題の良い題材なりそう笑。EBMの基本からやり直し案件。https://t.co/whv9O6Gvjp

Jul 21, 2022 · 4 shares · 199 followers View post →
青島周一@【書籍】「生成AIと学ぶ医学論文の読み方・考え方」発売中！
@syuichiao89 · X

RT @kspharmacist: アウトカムとは？というお題の良い題材なりそう笑。EBMの基本からやり直し案件。https://t.co/whv9O6Gvjp

Jul 21, 2022 · 4 shares · 8,611 followers View post →
カス
@kspharmacist · X

アウトカムとは？というお題の良い題材なりそう笑。EBMの基本からやり直し案件。https://t.co/whv9O6Gvjp https://t.co/oJjtNl9lNy

Jul 21, 2022 · 12 likes · 4 shares · 641 followers View post →
Greg Bryson, MD, FRCPC
@glbryson · X

"Increased expertise is reflected in many ways...in the more thoughtful identification and compassionate use of individual patients' predicaments, rights, and preferences in making clinical decisions about their care." Dr David Sackett https://t.co/lX9S9JMrfL

May 11, 2022 · 2,412 followers View post →
Dr. med. Dunja Voos
@dunjavoos · X

Als ich 1997 im PJ von der Evidence Based Medicine #EBM lernte, empfand ich das als große Erleichterung und Orientierung. Heute stoße ich oft auf #EBM-Argumente, die das Denken und Forschen eher behindern. https://t.co/GhMjsH5nk3

Mar 20, 2022 · 3 likes · 11,449 followers View post →
Boris Sobolev
@soboleffspaces · X

@RWJE_BA @yudapearl @f2harrell @hemanth_kanak @ADAlthousePhD @PavlosMsaouel @GustafRydevik @stephensenn Are you sure? EBM is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients https://t.co/nDKcUjVL7i Since when data is the best evidence? We didn’t have data about landing on the Moon before going there

Mar 6, 2022 · 1,439 followers View post →
タム・ポール(Tam Pole)@医療従事者
@tam_lbp · X

"【EBMが何であって何でないのか？】 EBMは""Ivory tower(現実離れして役に立たない)""とか、""Armchair(机上の空論)""と言われることがありますが、その主張は正しいでしょうか？ フリーアクセス

Mar 4, 2021 · 19 likes · 14,950 followers View post →
thinkin_mkdeabh
@thinkin_mkdeabh · X

@TaiwanOzPhysio @Bill_Vicenzino @Retlouping @PaulBliton @AdamMeakins @function2fitnes @leannebisset @LennartBentsen @NeilOConnell https://t.co/EKEKt88W6w https://t.co/9iuomXlM3L

Mar 1, 2021 · 1 like · 2,188 followers View post →
Dr Divago
@DivagoTM · X

RT @DivagoTM: leitura basica obrigatoria pra quem quer debater ciencia Evidence based medicine: what it is and what it isn't https://t.co…

Nov 16, 2020 · 2 shares · 12,665 followers View post →
Dr Divago
@DivagoTM · X

leitura basica obrigatoria pra quem quer debater ciencia Evidence based medicine: what it is and what it isn't https://t.co/Inv0B8U6PN

Nov 11, 2020 · 6 likes · 2 shares · 12,665 followers View post →
Ken Milne MD
@TheSGEM · X

@KashPrime @McMasterU #EBM what it is and isn’t. https://t.co/qjc17RqVDi

May 13, 2020 · 28,360 followers View post →
Michelle Kho, PT, PhD
@khome · X

@trishgreenhalgh We can always rely on the great David Sackett here - presuming this is already part of your paper? https://t.co/TIkyO3LOlT

May 3, 2020 · 1 like · 1,687 followers View post →
Sara
@saracoslp · X

RT @MBBrodskyPhD: Amazing how experience can add to evidence-based practice. See Sackett (1996): https://t.co/kzx38bLpUR #EBP #icurehab h…

Apr 22, 2019 · 1 share · 361 followers View post →
Martin Brodsky
@MBBrodskyPhD · X

Amazing how experience can add to evidence-based practice. See Sackett (1996): https://t.co/kzx38bLpUR #EBP #icurehab https://t.co/eK67x0vwkX

Apr 21, 2019 · 2 likes · 1 share · 3,144 followers View post →