{"id":7758,"date":"2016-12-01T22:23:28","date_gmt":"2016-12-01T22:23:28","guid":{"rendered":"http:\/\/orionhealth-blog.local\/?p=1724"},"modified":"2024-08-13T01:33:41","modified_gmt":"2024-08-13T01:33:41","slug":"opposing-perspectives-of-evidence-based-and-precision-medicine","status":"publish","type":"post","link":"https:\/\/orionhealth.com\/global\/blog\/opposing-perspectives-of-evidence-based-and-precision-medicine\/","title":{"rendered":"Opposing Perspective of Evidence-Based and Precision Medicine"},"content":{"rendered":"\n<p>Debra Madden, a clinical-applications systems analyst for Associated Neurologists, interviewed geneticist and pathologist Gabriel Bien-Willner, MD, PhD, FCAP, in&nbsp;<a href=\"http:\/\/www.ajmc.com\/contributor\/debra-madden\/2016\/11\/do-we-need-to-realign-evidence-based-versus-precision-medicine\">an 8,000-word piece for&nbsp;<em>The American Journal of Managed Care<\/em><\/a>&nbsp;titled, \u201cDo We Need to Realign Evidence-Based Versus Precision Medicine?\u201d&nbsp;<\/p>\n\n\n\n<p>Throughout the piece, Bien-Willner expressed a number of provocative views on:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>The&nbsp;<\/strong><a href=\"https:\/\/orionhealth.com\/\/global\/knowledge-hub\/blogs\/a-different-kind-of-patient-record\/\"><strong>ineffectiveness of evidence-based medicine<\/strong><\/a><strong>:<\/strong>&nbsp;Madden quoted a recent statement Bien-Willner made as an audience member at the annual meeting of the American Society of Clinical Oncology: \u201cI would argue that evidence-based medicine is incompatible with precision medicine and, as currently practiced, is not effective for cancer care.\u201d<\/li><li><strong>The challenges of oncologists actually&nbsp;<\/strong><a href=\"https:\/\/orionhealth.com\/\/global\/knowledge-hub\/reports\/bridging-the-genomics-health-it-gap-for-precision-medicine\/\"><strong>understanding genetic data<\/strong><\/a><strong>:<\/strong>&nbsp;Bien-Willner believes that technology has a critical role to play in the effort to \u201csimplify the workflow and knowledge gaps,\u201d and said that any expectations for oncologists to have an expert understanding of genomics are misplaced and a threat to the success of healthcare\u2019s ongoing precision-medicine journey.<\/li><li><strong>The relationship between evidence-based medicine and precision medicine:&nbsp;<\/strong>Bien-Willner contends that \u201cthese are 2 opposing perspectives and methods for deciding what proper care is.\u201d He argued that while the former relies on \u201cempirical statistical inference,\u201d the latter relies on \u201clogic and our understanding of the mechanisms that underlie disease,\u201d and he reiterated the lack of compatibility between today\u2019s approach to evidence-based medicine and precision medicine.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.ajmc.com\/contributor\/debra-madden\/2016\/11\/do-we-need-to-realign-evidence-based-versus-precision-medicine\"> Read the full interview&nbsp; <\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Debra Madden, a clinical-applications systems analyst for Associated Neurologists, interviewed geneticist and pathologist Gabriel Bien-Willner, MD, PhD, FCAP, in&nbsp;an 8,000-word piece for&nbsp;The American Journal of Managed Care&nbsp;titled, \u201cDo We Need to Realign Evidence-Based Versus Precision Medicine?\u201d&nbsp; Throughout the piece, Bien-Willner expressed a number of provocative views on: The&nbsp;ineffectiveness of evidence-based medicine:&nbsp;Madden quoted a recent statement [&hellip;]<\/p>\n","protected":false},"author":35,"featured_media":1725,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1],"tags":[],"region":[23],"class_list":["post-7758","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","region-global"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - 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