The 'new' evidence based pyramid

Craig Payne · Jul 31, 2016

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New evidence pyramid
M Hassan Murad, Noor Asi, Mouaz Alsawas, Fares Alahdab
Evid Based Med 2016;21:125-127 doi:10.1136/ebmed-2016-110401
full text and open access

Craig Payne · Jul 31, 2016

not this one:

NewsBot · Jul 31, 2016

Commentary in blog post from Evidence Based Fitness:
The long-anticipated fall of the systematic review

The part that I absolutely can get behind on the new infographic is the new placement of the systematic review as a lens through which evidence is viewed. This accurately removes the map-imposed monarchy of the systematic review as the highest level of evidence. It means that systematic reviews also have varying quality and are not automatically the go-to papers on which to base decisions. It also accurately reflects the reality that different lenses can cause different conclusions, a limitation of systematic reviews that has been highlighted in several more recent studies with multiple groups of investigators looking at the exact same systematic review data and coming up with wildly different conclusions from one another.
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