Down with the Hierarchies |
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Authors: | Jacob Stegenga |
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Institution: | 1. Institute for the History and Philosophy of Science and Technology, University of Toronto, 91 Charles Street West, Toronto, ON, M5S 1K7, Canada 2. Department of Philosophy, University of Utah, 215 South Central Campus Drive, Carolyn Tanner Irish Humanities Building, 4th Floor, Salt Lake City, UT, 84112, USA
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Abstract: | Evidence hierarchies are widely used to assess evidence in systematic reviews of medical studies. I give several arguments against the use of evidence hierarchies. The problems with evidence hierarchies are numerous, and include methodological shortcomings, philosophical problems, and formal constraints. I argue that medical science should not employ evidence hierarchies, including even the latest and most-sophisticated of such hierarchies. |
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