April 24, 2026 · Emergency medicine journal : EMJ · DOI: 10.1136/emermed-2025-215840

Pragmatic medicine, n=1

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The authors explore the limitations of evidence-based medicine and question its applicability in diverse clinical settings. They argue that the absence of evidence for certain interventions does not imply a lack of benefit and advocate for a pragmatic approach to medicine that incorporates clinical judgment and patient preferences. The paper emphasizes the need for sufficient solutions that address the specific context of individual patients rather than strictly adhering to existing evidence.

Piotr Szawarski, David Hillebrandt

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