Inviting Controversy: David Eddy at ICSI By Susannah Fox | December 1, 2009 Categories: found on the net David Eddy did nothing to reassure Kent Bottles about evidence-based guidelines in his recent keynote, saying essentially: “The problem is that we don’t know what we are doing” (!!)Related 1 Comment Kent Bottles on December 2, 2009 at 2:22 pm Dr. Eddy did say that quotation in the BusinessWeek article referenced in the original blog post. In the Reinertsen Lecture he did a masterful job of showing how today’s evidence-based guidelines are better than no guidelines at all. However, he did point out that today’s evidence-based guidelines do have limitations. For example, many patients have multiple diseases, the need for sharp cut-offs in guidelines do result in the need for clinical judgment, and the need for shared decision-making between patient and provider. Dr. Eddy did reassure me that computer-based simulation may be a way to move evidence-based medicine forward from today’s single disease guidelines. I would refer readers to the comment by Al Burgener in the original ICSI blog: we need Informed Judgment ReplySubmit a Comment Cancel replyYour email address will not be published. Required fields are marked *CommentName * Email * Website Notify me of follow-up comments by email. Notify me of new posts by email.